Introduction Pneumonia is inflammation of the lung that is most often caused by infection with bacteria, viruses, or other organisms. Occasionally, inhaled chemicals that irritate the lungs can cause pneumonia. Healthy people can usually fight off pneumonia infections. However, people who are sick, including those who are recovering from the flu (influenza) or an upper respiratory illness, have a weakened immune system. This makes it easier for bacteria to grow in their lungs. It is one of the top 10 causes of death in the U.S. and the 6th leading cause of death in the elderly (65 and older). Defining Pneumonia by Location in the Lung Pneumonia may be defined according to its location in the lung: Lobar pneumonia occurs in one part, or lobe, of the lung. Bronchopneumonia tends to be scattered throughout the lung. Defining Pneumonia by Origin of Infection Doctors often classify pneumonia based on where the disease is contracted. This helps predict which organisms are most likely responsible f...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
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...
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