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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
[Diagnosis and therapy of aspiration pneumonia]
1Helios Klinikum Emil von Behring, Zentrum für Pneumologie and Thoraxchirurgie Heckeshorn, Klinik für Pneumologie. sott@berlin-behring.helios-kliniken.de
Abstract:
Aspiration pneumonia is an important and frequent complication following aspiration of infectious material from the oropharynx or stomach. Therefore the microbiological flora generally comprises a mixed spectrum of microbes including aerobic, microaerobic and anaerobic mircoorganisms. There are a number of risk factors for aspiration such as compromised consciousness or esophageal diseases. Aspiration pneumonia presents as a subacute or chronic disease. An endoscopic inspection of the bronchial system and a bacteriological evaluation should be performed in all patients. The principal therapeutic strategy for aspiration pneumonia is an antibiotic therapy. In uncomplicated cases a treatment for 7-10 days should be sufficient, but in case of complications like necrotizing pneumonia or lung abscess a prolonged administration (14-21 days, up to weeks or months) will be necessary. Recommended antibiotic regimens include clindamycin +/- cephalosporin, ampicillin/sulbactam and moxifloxacin.
Insights
Aspiration pneumonia, a lung infection from inhaling foreign material, requires prompt antibiotic treatment. Duration varies from 7-10 days for simple cases to weeks for severe complications like lung abscesses.
Area of Science:
- Infectious Diseases
- Pulmonology
- Microbiology
Context:
- Aspiration pneumonia is a common complication resulting from the inhalation of oropharyngeal or gastric infectious material.
- Risk factors include compromised consciousness and esophageal diseases, leading to a mixed microbial flora.
- The condition typically manifests as a subacute or chronic illness.
Purpose:
- To outline the diagnostic and therapeutic strategies for aspiration pneumonia.
- To emphasize the importance of microbiological evaluation and appropriate antibiotic selection.
Summary:
- Diagnosis involves endoscopic bronchial inspection and bacteriological assessment.
- Antibiotic therapy is the primary treatment, with duration dependent on disease severity.
- Recommended regimens include clindamycin, ampicillin/sulbactam, and moxifloxacin.
Impact:
- Effective management strategies can improve patient outcomes and reduce morbidity associated with aspiration pneumonia.
- Understanding the diverse microbial spectrum is crucial for targeted antibiotic therapy.
- Timely and appropriate treatment is essential, especially in cases with complications such as necrotizing pneumonia or lung abscesses.
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