Pneumonia
| 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
- ↑ National Library of Medicine. Pneumonia. Retrieved on 2007-11-16.
- ↑ 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.
- ↑ Murray JF (1979). "The ketchup-bottle method". N. Engl. J. Med. 300 (20): 1155–7. PMID 431639. [e]
- ↑ 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]