Can Pneumonia be cured?

Many people feel that their condition will not get better after suffering from Carinthias pneumonia, but this is not the case. As long as they persist in treatment for a period of time, the condition can be alleviated or even completely cured. Therefore, patients should pay more attention to bed rest during this treatment period and drink more water, which is good for their lung organs.

In addition to bed rest, drinking plenty of water, oxygen inhalation, and active expectoration, the most important part of pneumonia treatment is anti-infection. Treatment of bacterial pneumonia includes both pathogen-directed therapy and empirical therapy. The former selects antimicrobial drugs that are sensitive in in vitro tests based on the results of sputum culture and drug sensitivity tests; the latter mainly selects antimicrobial drugs that may cover the pathogens based on the epidemiological data of pneumonia pathogens in the region. In addition, the selection of antimicrobial drugs and routes of administration are based on factors such as the patient's age, underlying disease, severity of the disease, and whether there is aspiration.

If pneumonia is suspected, give the first dose of antibiotics immediately. After the condition stabilizes, the intravenous route can be changed to oral treatment. The course of antibiotic treatment for pneumonia is at least 5 days, and most patients need 7 to 10 days or longer. Antibiotics can be discontinued when the body temperature is normal for 48 to 72 hours and there are no clinical unstable signs of pneumonia. The clinical stability criteria for pneumonia are: ① body temperature ≤ 37.8℃; ② heart rate ≤ 100 beats/min; ③ respiratory rate ≤ 24 times/min; ④ blood pressure: systolic pressure ≥ 90 mmHg; ⑤ arterial oxygen saturation ≥ 90% or PaO2 ≥ 60 mmHg under breathing room air conditions; ⑥ able to eat orally; ⑦ normal mental state.

The clinical manifestations of effective treatment include decreased body temperature, improved symptoms, stable clinical status, gradual return to normal white blood cell count, and delayed absorption of lesions on chest X-rays. If symptoms do not improve after 72 hours, the possible reasons may be: ① The drug fails to cover the pathogenic bacteria, or the bacteria are resistant to the drug. ②Infection by special pathogens such as Mycobacterium tuberculosis, fungi, viruses, etc. ③ Complications occur or host factors that affect efficacy (such as immunosuppression) exist. ④ Non-infectious diseases are misdiagnosed as pneumonia. ⑤Drug fever. It needs to be carefully analyzed, necessary inspections made, and appropriate treatments taken.

1. Community-acquired pneumonia in young adults and those without underlying diseases

Penicillin, first-generation cephalosporins and other antibiotics are used. Because the resistance rate of Streptococcus pneumoniae to macrolide antibiotics in my country is high, macrolide antibiotics are not used alone to treat pneumonia caused by this bacteria. Fluoroquinolones (moxifloxacin, gemifloxacin and levofloxacin) that are specifically effective for respiratory tract infections can be used for resistant Streptococcus pneumoniae.