FROM OUR EXPERTS
A recent article in the NY Times addressed the link between the use of PPI's and pneumonia. The study, which was published in The Journal of the American Medical Association, indicated that those on PPI medications had 30% greater the risk of developing hospital acquired pneumonias than the group not taking PPI's ( 1 ). The study showed no increase for those taking the medications Zantac or Prilosec. The New York Times article talked with a couple of physicians who noted that PPI use could limit the amount of coughing a person does, and that the lack of coughing could increase the risk for pneumonia. Another theory was that the PPI use could increase the growth of certain bacteria, because the acid was not present to kill those bacteria, and that could be responsible for the increase in pneumonia. There was no mention made of whether those who are on PPI's, due to having conditions such as GERD, might have been at a greater risk for pneumonia to begin with. ...
Anaerobic pneumonia; Aspiration of vomitus; Necrotizing pneumonia; Aspiration pneumonitis
Some people may need to be hospitalized. Treatment depends on the severity of the pneumonia . You may receive antibiotics, which treat bacteria. Some people may get special antibiotics to treat bacteria that live in the mouth.
The type of bacteria that caused the pneumonia depends on:
Where you live (at home or in a long-term nursing facility, for example)
Whether you've recently been hospitalized
Recent antibiotic use
You may need to have your swallowing function tested. Patients who have trouble swallowing may need to use other feeding methods to reduce the risk of aspiration.
The outcome depends on:
The severity of the pneumonia
The type of bacteria causing the pneumonia
How much of the lungs are involved
If acute respirator...
Medications Dozens of antibiotics are available for treating pneumonia, but selecting the best drug is sometimes difficult. Patients with pneumonia need an antibiotic that is effective against the organism causing the disease. When the organism is unknown, "empiric therapy" is given, meaning the doctor chooses which antibiotic is likely to work based on factors such as the patient's age, health, and severity of the illness. In determining the appropriate antibiotic, the physician must first answer a number of questions: How severe is the pneumonia? Mild-to-moderate cases can be treated at home with oral antibiotics. Severe pneumonia usually needs intravenous antibiotics administered in the hospital. If the organism causing the pneumonia is not known, was the disorder community- or hospital-acquired? Different organisms are usually involved in each setting, and the physician can use this information to guess the most likely organism causing the pneumonia. If the organism is known, is it typ...
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