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In general practice The main treatment of aspiration pneumonia revolves around the use of antibiotics to remove the bacteria causing the infection. [1] Broad antibiotic coverage is required to account for the diverse types of bacteria possibly causing the infection. [1]
A vaccine against Streptococcus pneumoniae, available for adults, is recommended for healthy individuals over 65 and all adults with COPD, heart failure, diabetes mellitus, cirrhosis, alcoholism, cerebrospinal fluid leaks or who have had a splenectomy. Re-vaccination may be required after five or ten years. [16]
CURB-65, also known as the CURB criteria, is a clinical prediction rule that has been validated for predicting mortality in community-acquired pneumonia [1] and infection of any site. [2] The CURB-65 is based on the earlier CURB score [ 3 ] and is recommended by the British Thoracic Society for the assessment of severity of pneumonia. [ 4 ]
Atypical bacteria causing pneumonia are Coxiella burnetii, Chlamydophila pneumoniae (), Mycoplasma pneumoniae (), and Legionella pneumophila.. The term "atypical" does not relate to how commonly these organisms cause pneumonia, how well it responds to common antibiotics or how typical the symptoms are; it refers instead to the fact that these organisms have atypical or absent cell wall ...
In 2018 AHRQ presented a new toolkit on the basis of CURB-65, an older counterpart to the PSI. [6] In the 2019 ATS/IDSA Guidelines for the Diagnosis and Treatment of Adults with Community-acquired Pneumonia, PSI was recommended over CURB-65 because of lack of evidence supporting the safety and effectiveness of the latter. [7]
Doctors have long urged people ages 50 and older to get a shot to protect against bacterial pneumonia.
Pfizer's shot, Prevnar 20, was approved in 2021 for use in adults aged 18 years or older and protects against 20 serotypes. It is also approved for use in six-weeks old infants to 17-year olds.
It retains some activity of later-generation cephalosporins having broad-spectrum activity against Gram-negative bacteria, but its effectiveness is relatively much weaker. [4] [5] It is currently being investigated for community-acquired pneumonia [6] and complicated skin and skin structure infection. [7] [8] [9]