Aspiration pneumonia develops after inhalation of colonized oropharyngeal material. Aspiration of colonized oropharyngeal secretions is the main mechanism by which bacteria enter the lungs. Indeed, Haemophilus influenzae and Streptococcus pneumoniae colonization of the nasopharynx or oropharynx before they are atmospheric and cause pneumonia. The term "aspiration pneumonia" however, refers specifically to the development of radiographically evident infiltrate in patients with increased risk of oropharyngeal aspiration. Approximately half of all healthy adults aspiration small number of oropharyngeal secretions during sleep. Presumably, the low load virulent bacteria in the normal pharyngeal secretions with cough power, active tsylyarnoy transport and normal humoral and cellular immune mechanisms, leading to clearance of infectious material without complications. However, if these mechanical, humoral or cellular mechanisms of violation or if the amount of atmospheric material is quite large, pneumonia can follow. Any condition that increases the volume or the bacterial load of oropharyngeal secretions in people with weakened immune systems can lead to aspiration pneumonia. Indeed, in patients with stroke and the evaluation swallowing, there is a strong correlation between the volume of aspiration and pneumonia. Factors that increase the risk of oropharyngeal colonization with potentially pathogenic organisms and an increase in bacterial load may increase the risk of aspiration pneumonia. The risk of aspiration pneumonia in these patients without teeth40 and in elderly patients in institutions that receive oral care41 aggressive than other patients. These risks are largely distinguish aspiration pneumonia with community acquired pneumonia. However, there are many overlap. For example, healthy elderly patients with community acquired pneumonia have a much higher rate than silent aspiration of age with the control group. Some people may need to be hospitalized. Treatment depends on the severity of pneumonia. You can get antibiotics, which include bacteria. Some people may receive special antibiotics to treat bacteria that live in the mouth. Where you live (at home or in long-term elderly and disabled, for example)
You may need to swallow your function tests. Patients who have swallowing problems may have to use other methods of feeding, to reduce the risk of aspiration. Antibiotics used to treat aspiration pneumonia. Sometimes, people may have to go to hospital to receive antibiotics directly into the vein through the IV (or intravenous catheter). In other cases, antibiotics taken orally can be used to treat infections. Antibiotics are used for aspiration pneumonia antibiotic therapy clearly shown in patients with aspiration pneumonia. The choice of antibiotics should depend on the conditions in which there is desire, and overall health of the patient. However, antibiotics with activity against gram-negative microorganisms, such as third-generation cephalosporins, fluoroquinolones, and piperacillin is usually required. Penicillin and clindamycin, often referred to standard antibiotics for aspiration pneumonia are inadequate for most patients with aspiration pneumonia. Antibiotic with specific anaerobic activity is usually not justified and may be indicated only in patients with severe periodontal disease, putrid sputum, or a certificate of necrotizing pneumonia or lung abscess on the chest radiograph. Deciding to initiate antibiotics for aspiration pneumonia using prokaltsytoninu Definition aspiration pneumonia have not been clearly established. Although it is common practice, prophylactic use of antibiotics in patients who have suspected aspiration is not recommended. Thus, there is no clear indication in the decision-making in the administration of antibiotics in patients with suspected pneumonia aspiration. Prokaltsytoninu (PCT) was used as biomarkers to assess the likelihood of bacterial infection. Here we present, in initiating antibiotics prokaltsytoninu based therapeutic strategies may have implications for reducing current excessive use of antibiotics for aspiration pneumonia. This is a 1 year retrospective and prospective supervising current study includes a total buy strattera of 56 patients with aspiration pneumonia came into our emergency department (ED) and PCT (BRAM-SPCT-Q ®), measured on admission. Patients with aspiration pneumonia was defined a priori with risk factors oropharyngeal aspiration and X-ray evidence infiltrates suspected aspiration. All cases were divided into low-or high PCT PCT PCT group cut-off at 0. 5mcg / L. Medical records were reviewed at the PCT, laboratory data, physical examination, microbiological data, and antibiotic use. Overall, 58% (33/56) patients with aspiration pneumonia were classified at low PCT group and 33% of which (11/33) resolved within 48 hours without the use of antibiotics. The remaining 66% of patients (22/33) survived introduced a broad spectrum antibiotic mainly anaerobic coverage. 6% (2/33) low PCT group showed a positive sputum culture, while 30% (7/23) group of high PCT. 14% (2/14) of all patients administered antibiotics positive sputum culture, while 16% (7/42) is injected antibiotics. None of all patients were diagnosed with bacteremia. Average End-65 on account of low PCT group 1. 42, and high PCT group 2. 4 (p
Beginner PCT can be used to predict the load due to the dangerous bacteria. Low PCT can prevent us from start of treatment with antibiotics and has the potential to reduce the use of antibiotics for aspiration pneumonia in the ED. Breathing through some people may have trouble breathing because of aspiration pneumonia. In severe cases, a person can be installed on the machine to help breathing.,.
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