Pneumonia is an inflammation of the lung, popularly known as pneumonia. Our lungs, heart, brain, such as vital ogans and all of our cells provide the necessary oxygen.
Gas exchange is disrupted due to inflammation in areas where gas exchange occurs in pneumonia. Inflammation often develops due to bacteria, viruses, fungi and various microorganisms. Rarely, toxic gases, drugs and radiotherapy can also cause pneumonia. The disease plays a role in the transmission of microorganisms, or aspiration of microorganisms in the patient's mouth, stomach, or upper respiratory tract. The most important step in the development of infection is the weakening of the patient's immune system.
In immunocompromised people, such as COPD, asthma and diabetes, the frequency and severity of pneumonia is increasing. 6 among all causes of death in America. Ranked 1st among deaths linked to infection. Studies in our country show that death rates rise up to 60%.
Symptoms and Clinical Table The symptoms and clinical picture are presented with medical history, physical examination, radiological imaging of the lung and blood tests. Cough, sputum, fever, bloody sputum, confusion, general condition disorder, chest pain, abdominal pain and infection parameters increase according to the localization of the infection can be seen. The presence of these findings is diagnosed. In patients with pneumonia, sputum culture, if necessary, bronchoscopy and examination of the lower respiratory tract is provided by taking samples and cleaning of secretions.
Source: Kılınç, 2008.
In cases of pneumonia developing in the community, 95% of patients with 100% CRP value is over 5 mg/dL. In bacterial pneumonia, the CRP value is higher than 10 mg/dL. This limit (10 mg/dL) provides pneumonia attack separation with COPD (concise, 2018).
The risk factors of the patient or the identified microorganisms are evaluated and the possible antibiotic treatment for the microorganisms is started. Treatment and follow-up are decided by outpatient or by admission according to Risk scoring. In patients with low oxygen or respiratory distress, oxygenation is provided by oxygen therapy and mechanical ventilation.
In patients with chronic lung and heart disease, diabetes, kidney failure, cancer, and risk factors that weaken immunity, pneumonococcal and influenza (influenza) vaccines should be administered. Smoking cessation and keeping chronic diseases under control in people who smoke also reduces the risk of pneumonia.
Utilized resources Kılınç, Ö. (2008). "Pneumonia". Turkish Thoracic Society.
Özlü T. (2018). “Community Based Pneumonia: Diagnosis, Treatment and Prevention”. http://file.toraks.org.tr/TORAKSFD23NJKHBNH3H4J4H4 2-ppi courses ...