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Pneumonia (pneumonia)
Acute inflammation of lung
parenchyma with obvious
involvement of alveoli.
Usually is caused by bacteria or
viruses
Ethiology:
Pathogenesis:
Infection spread into the
organism through respiratory
airways. Microbes appears and
multiple on bronchial mucosa of
upper airways and than spread
down to bronchi and lung tissue
Classification
Community-acquired pneumonia.
Nosocomial (intrahospital) pneumonia acute
infection of lower airways confirmed with Xray, has being developed in 48 hrs after
appearance of the patient in hospotal
environment.
Aspiration pneumonia.
Pneumonia in immunocompromizwd patients
Community acquired
Streptococcus pneumoniae
Mycoplasma pneumoniae
Influenza virus A
Haemophilus influenzae
Legionella pneumophila
Staphylococcus aureus
Coxiella burneti
Chlamydia psittaci
Hospital acquired
Gram-negative bacilli
Staphylococcus aureus
Streptococcus pneumoniae
Legionella pneumophila
Haemophilus influenzae
Pseudomonas spp
Immunocompromised
patients
Pneumocystis carinii
Cytomegalovirus
Mycobacterium aviumintracellulare
Mycobacterium tuberculosis
Streptococcus pneumoniae
Haemophilus influenzae
Legionella pneumophila
Actinomyces israelii
Aspergillus fumigatus
Nocardia asteroides
Croupous pneumonia
Acute inflammation of lungs, which in
most cases spreads on all pulmonary
lobe. That is why it is called lobar
pneumonia (pneumonia lobaris), but
can be limited to the affection of
segment or a few segments.
Synonims
fibrinous
pleuropneumonia
pneumonia,
Pneumococci
Clinical stages:
initial
clinical
(corresponds
hepatisation
resolution
to
manifestation
red and grey
Forced position
Complications
Pleurisy
Lung abscess
Lung abscess
Focal pneumonia
Focal pneumonia
Focal pneumonia
The feature of these pneumonias is
an involvement of separate lobules
or groups of lobules in the
inflammatory process. Therefore it is
named also lobular (pneumonia
lobularis)
Synonim: bronchopneumonia
Principles of treatment
Antibiotics
Expectorants
Desintoxication
Oxygen
Antigistamine agents
Symptomatic therapy
orrect regimen
Bed mode
Care of patients:
proper lighting and ventilation
(fresh air improve patients sleep and
bronchial clearance)
Care of oral cavity
Diet
Climatotherapy
mild dry warm
climat
Symptomatic means
antitussives
antipyretics
Pain killers
antiinflammmatory
(nonsteroidal in pleural pain)
cardiotonics