Anaerobic Peptostreptococcus Aspiration of oropharyngeal secretions and gastric fluids are the major causes of anaerobic lung infections.Predisposing risks are impaired swallow, gastrointestinal abnormalities, and poor dental hygiene.
Management Based on Specific cause Severity of symptoms Antibiotics (bacterial) Bed rest Fluids Reduce symptoms RT Oxygen therapy Bronchopulmonary hygiene Lung expansion thoracentesis
Based on Specific cause Severity of symptoms Antibiotics (bacterial) Bed rest Fluids Reduce symptoms RT Oxygen therapy Bronchopulmonary hygiene Lung expansion thoracentesis
Gram Positive Organisms
Strep = 80% of all bacterial pnuemonia Staph = MRSA Nosocomial
Gram Negative Organisms
Haemophilus Influenza = Pharyngeal or Epiglottitus Klebsiella = Drunks and septicemia
Found in RT equipment sweet sick smell
Hospital Acquired Pneumonia
Mycoplasma pneumonia or walking pneumonia Legionella = muddy water or air conditioning/middle aged men who smoke
Anaerobic Bacterial Infections
Approximately half of all pneumonia are caused by viruses Influenza Virus= come in Epidemic waves during school year and winter RSV= infants catchy and leads to life of asthma Parainfluenza type 1 causes croup Sars - Corona virus
Aspiration Pneumonia causes -Toxic Injury to the lung -obstruction -Infection
Causes vagal stimulation and can exacerbate or cause an asthma attack.
Normal Swallowing Mechanism
Oral preparation Oral Pharyngeal Esophageal
Result of an abnormal swallow that can involve oral, pharyngeal and esophageal phases.
Usually due to stroke or trached patients this is caused by an inability to cough effectively
AIDS this is a fungus and not a protozoa
Avian Influenza CAP /strep/48 hours prior to hospital admission HAP/staph/48 hours after hospital admission VAP/ vents nosocomial NAP/ nursing homes staph and TB (latent)
Antibiotics RT Care Pulmonary Hygiene Lung expansion therapy Thoracentesis
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