Pneumonia: Difference between revisions

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====Ventilator associated pneumonia====
====Ventilator associated pneumonia====


==Treatment==
==Treatment==
===Aspiration pneumonia===
===Aspiration pneumonia===


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===Ventilator associated pneumonia===
===Ventilator associated pneumonia===
===Treatments that are ineffective===
Chest physiotherapy (which has been call the 'ketchup-bottle method'<ref name="pmid431639">{{cite journal |author=Murray JF |title=The ketchup-bottle method |journal=N. Engl. J. Med. |volume=300 |issue=20 |pages=1155–7 |year=1979 |pmid=431639 |doi= |issn=}}</ref>) and intermittent positive-pressure breathing have been shown not to help in a small [[randomized controlled trial]].<ref name="pmid355879">{{cite journal |author=Graham WG, Bradley DA |title=Efficacy of chest physiotherapy and intermittent positive-pressure breathing in the resolution of pneumonia |journal=N. Engl. J. Med. |volume=299 |issue=12 |pages=624–7 |year=1978 |pmid=355879 |doi= |issn=}}</ref>


==Prognosis==
==Prognosis==

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Pneumonia is defined as "inflammation of the lungs."[1]

Classification

Pneumonia can be classified along various dimensions including clinical setting, underlying etiology, and its gross appearance (bronchopneumonia versus lobar pneumonia).

Aspiration pneumonia

Community acquired pneumonia

Atypical pneumonia

Nosocomial pneumonia

Ventilator associated pneumonia

==Treatment==

Aspiration pneumonia

Community acquired pneumonia

The optimal duration of antibiotic treatment for community acquired pneumonia is not clear.[2]

Ventilator associated pneumonia

Treatments that are ineffective

Chest physiotherapy (which has been call the 'ketchup-bottle method'[3]) and intermittent positive-pressure breathing have been shown not to help in a small randomized controlled trial.[4]

Prognosis

The prognosis of community acquired pneumonia can be estimated with the CURB-65 and pneumonia severity index (PSI) clinical prediction rules.

References

  1. National Library of Medicine. Pneumonia. Retrieved on 2007-11-16.
  2. Li JZ, Winston LG, Moore DH, Bent S (2007). "Efficacy of short-course antibiotic regimens for community-acquired pneumonia: a meta-analysis". Am. J. Med. 120 (9): 783–90. DOI:10.1016/j.amjmed.2007.04.023. PMID 17765048. Research Blogging.
  3. Murray JF (1979). "The ketchup-bottle method". N. Engl. J. Med. 300 (20): 1155–7. PMID 431639[e]
  4. Graham WG, Bradley DA (1978). "Efficacy of chest physiotherapy and intermittent positive-pressure breathing in the resolution of pneumonia". N. Engl. J. Med. 299 (12): 624–7. PMID 355879[e]