Pneumonia: Difference between revisions

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Pneumonia
ICD-9 480

-486

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

Antibiotics

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 includes postural drainage, percussion, and vibration and has been call the 'ketchup-bottle method'[3] of treating pneumonia. Chest physiotherapy and intermittent positive-pressure breathing have been shown not to help in a small randomized controlled trial.[4]

Prognosis

Short term prognosis and the decision to hospitalize

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

Long term prognosis

References

  1. Anonymous (2024), Pneumonia (English). Medical Subject Headings. U.S. National Library of Medicine.
  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]

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