There are 3 types of pneumonia, with different medications

  Pneumonia is no stranger to everyone. It is a common respiratory disease that refers to inflammation of the terminal airways, alveoli, and lung interstitium. It can be caused by pathogenic microorganisms such as bacteria, viruses, fungi, and parasites, as well as physical and chemical factors such as radiation and inhaled foreign bodies. The main clinical symptoms are fever, cough, sputum, blood in the sputum, chest pain or difficulty breathing. Infant pneumonia, symptoms are often not obvious, and there may be a slight cough. Currently, pneumonia is clinically divided into three types: bacterial pneumonia, viral pneumonia and aspiration pneumonia.
  Bacterial pneumonia, as the name suggests, is caused by bacteria. The common bacteria is Streptococcus pneumoniae. It can be spread through droplets, respiratory secretions, etc. It is mainly absorbed in the human oral epithelial cells and nasopharyngeal epithelial cells. When the human body’s immunity is weak, bacteria can easily invade the alveoli and cause lung infections. Children are the main infection group of Streptococcus pneumoniae because their respiratory organs and immune system are not fully developed, and their immunity is poor. The drug treatment for bacterial pneumonia is mainly based on antibiotics, and the following 4 aspects should be noted:
  (1) For those with previous health and no underlying diseases, it is recommended to use the first or second generation cephalosporins, penicillins, Macrolides and respiratory quinolone drugs.
  (2) For patients with underlying diseases or who have used antibacterial drugs in the past 3 months, it is recommended to use penicillin combined with macrolides and respiratory quinolones as monotherapy.
  (3) For ordinary hospitalized patients, penicillin, respiratory quinolones, and third or fourth generation cephalosporins can be used for treatment.
  (4) For patients with severe pneumonia, it is recommended to use de-escalation anti-infective therapy. This strategy includes two stages: the first stage uses the broadest spectrum of antibacterial drugs to prevent rapid deterioration of the patient’s condition, avoid bacterial resistance, and prevent organs Dysfunction saves patients’ lives and shortens their hospital stay; the second phase focuses on downgrading and switching to a relatively narrow-spectrum antibacterial program to reduce the possibility of drug-resistant bacteria and optimize the cost-benefit ratio of treatment.
  Viral pneumonia is mainly caused by some viruses that can cause flu and colds, and it is more common in children under 5 years of age. It should be noted that viral pneumonia should not be treated with antibiotics. It can only be used when the body is also infected with bacteria.
  After clarifying which pathogen invaded the patient, he should be treated with antiviral drugs as soon as possible. Commonly used drugs include: (1) Ribavirin, which has broad-spectrum antiviral activity, is used for respiratory syncytial virus and parainfluenza Viruses, influenza viruses, etc.; (2) Acyclovir, with broad-spectrum antiviral activity, quick onset and high efficiency, used for varicella-zoster virus, herpes simplex virus, etc.; (3) Ganciclovir, Mainly used for cytomegalovirus infection; (4) Oseltamivir, a neuraminidase inhibitor, used for influenza A and B viruses; (5) Cytarabine, which has broad-spectrum antiviral activity, It is used for varicella-zoster virus and herpes simplex virus for immunodeficiency patients; (6) Amantadine is used for influenza virus and other infections, which can prevent certain viruses from entering human cells and has an antipyretic effect.
  In addition, patients also need to stay in bed more, keep indoor air circulation, drink plenty of water, and eat liquid food rich in vitamins and protein as the main diet.
  Aspiration pneumonia refers to chemical pneumonia caused by accidental inhalation of acidic substances, such as animal fat, food, stomach contents, and other irritating liquids and volatile hydrocarbons. In severe cases, respiratory failure or respiratory distress syndrome can occur. When a patient suffers from aspiration pneumonia, he needs to inhale oxygen and use tracheal intubation and bronchoscopy to suck out the foreign body. Antibiotics are given to control the disease to prevent the disease from getting worse or spreading. If the foreign body cannot be sucked out, it can only be removed by surgery.
  Generally speaking, patients with aspiration pneumonia are often accompanied by anaerobic bacterial infections. Doctors need to cultivate microorganisms, clarify the types and types of bacteria, and then decide the drugs to use according to the patient’s condition. If the patient has a fever or has uncomfortable symptoms, they can choose to use antipyretics and analgesics, such as ibuprofen, aspirin, acetaminophen, etc., to relieve the symptoms. When a patient has a cough, they can choose to use cough suppressants to relieve the symptoms, but it is not necessary to completely clear the cough, because a proper cough helps to transfer and discharge the sputum from the lungs. Therefore, try to take as low a dose as possible or avoid taking cough medicine.

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