Community-Acquired Pneumonia
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Journal of Infectious diseases and diagnosis is an open access rapid peer reviewed journal in the field of Infectious diseases. It is a bimonthly journal. Below we discuss about Community acquired Pneumonia overview and Treatment.
Community-acquired pneumonia (CAP) refers to pneumonia (any of several lung diseases) contracted by a person outside of the healthcare system. In contrast, hospital-acquired pneumonia (HAP) is seen in patients who have recently visited a hospital or who live in long-term care facilities. CAP is common, affecting people of all ages, and its symptoms occur as a result of oxygen-absorbing areas of the lung (alveoli) filling with fluid. This inhibits lung function, causing dyspnea, fever, chest pains and cough.
CAP, the most common type of pneumonia, is a leading cause of illness and death worldwide. Its causes include bacteria, viruses, fungi and parasites. CAP is diagnosed by assessing symptoms, performing a physical examination, by x-ray or by sputum examination. Patients with CAP sometimes require hospitalization, and it is treated primarily with antibiotics, antipyretics and cough medicine. Some forms of CAP can be prevented by vaccination and by abstaining from tobacco products.
Symptoms
Signs and symptoms of CAP include:
- Coughing which produces greenish or yellow sputum
- A high fever, accompanied by sweating, chills and shivering
- Sharp, stabbing chest pains
- Rapid, shallow, often painful breathing
Causes
Many different microorganisms can cause CAP. However, the most common cause is Streptococcus pneumoniae. Certain groups of people are more susceptible to CAP-causing pathogens - infants, adults with chronic conditions (such as chronic obstructive pulmonary disease), and senior citizens. Alcoholics and others with compromised immune systems are more likely to develop CAP from Haemophilus influenzae or Pneumocystis jirovecii. A definitive cause is identified in only half the cases.
Treatment
CAP is treated with an antibiotic that kills the infecting microorganism; treatment also aims at managing complications. If the causative microorganism is unidentified, which is often the case, the laboratory identifies the most effective antibiotic; this may take several days.
Health professionals consider a person's risk factors for various organisms when choosing an initial antibiotic. Additional consideration is given to the treatment setting; most patients are cured by oral medication, while others must be hospitalized for intravenous therapy or intensive care. Current treatment guidelines recommend a beta lactam, like amoxicillin and a macrolide, like azithromycin or clarithromycin, or a quinolone, such as levofloxacin. Doxycycline is the antibiotic of choice in the UK for atypical bacteria, due to increased clostridium difficile colitis in hospital patients linked to the increased use of clarithromycin
Ceftriaxone and azithromycin are often used to treat community acquired pneumonia, which usually present with a few days of cough, fever, and shortness of breath. Chest x-ray typically reveals a lobar infiltrate (rather than diffuse)
Journal of infectious diseases and diagnosis announces papers for the upcoming issue. Interested can submit their manuscript through online portal
Submit manuscript at http://www.longdom.org/submissions/infectious-diseases-diagnosis.html or send as an e-mail attachment to the Editorial Office at editor.jidd@longdomjournal.org
Media contact:
Eliza Grace
Managing Editor
Journal of Infectious Diseases and Diagnosis
Mail ID: editor.jidd@longdomjournal.org