Treatment FAQ

what is the standard treatment for pneumonia

by Ms. Carrie Gutmann Published 2 years ago Updated 1 year ago
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The main treatment for pneumonia is antibiotics, along with rest and drinking plenty of water. If you have chest pain, you can take pain killers such as paracetamol. Treatment depends on how severe your pneumonia is. Treatment with antibiotics should be started as soon as possible after diagnosis.

Medication

  • Bacteria in the bloodstream (bacteremia). Bacteria that enter the bloodstream from your lungs can spread the infection to other organs, potentially causing organ failure.
  • Difficulty breathing. ...
  • Fluid accumulation around the lungs (pleural effusion). ...
  • Lung abscess. ...

Therapy

  • Tachypnea: RR
  • Age 0 to 2 months: greater than 60; age 2 to 12 months: greater than 50; age 1 to 5 years: greater than 40; age greater than 5 years: greater ...
  • Dyspnea
  • Retractions: suprasternal, intercostal, or subcostal
  • Grunting
  • Nasal flaring
  • Apnea
  • Altered mental status
  • Pulse oximetry measurement less than 90% on room air

Self-care

Treatment for pneumonia depends on the type of pneumonia, how sick the patient is, the patient’s age, and if other underlying medical conditions are present. Mild cases of pneumonia will often go away on their own by managing symptoms and getting adequate rest.

Nutrition

• Nonresolving pneumonia may be because of less common pathogens, or feature other conditions, and requires more detailed investigation. • Pediatric pneumonia is also common, and first-line treatment is still amoxicillin, followed closely by cephalosporins or macrolides.

What is the most common treatment for pneumonia?

What is the best medicine for pneumonia?

Can pneumonia go away on its own?

What is the first line treatment for pneumonia?

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What is the most common treatment for pneumonia?

Mild pneumonia can usually be treated at home with rest, antibiotics (if it's likely be caused by a bacterial infection) and by drinking plenty of fluids. More severe cases may need hospital treatment.

What is the best antibiotic to treat pneumonia?

In otherwise uncomplicated pneumonia, azithromycin is the initial drug of choice, as it covers most of the potential etiologic agents, including Mycoplasma species.

What is the first line treatment for pneumonia?

Pneumonia should be treated with antibiotics. The antibiotic of choice for first line treatment is amoxicillin dispersible tablets. Most cases of pneumonia require oral antibiotics, which are often prescribed at a health centre.

What is the latest treatment for pneumonia?

FDA approves new antibiotic to treat community-acquired bacterial pneumonia. The U.S. Food and Drug Administration today approved Xenleta (lefamulin) to treat adults with community-acquired bacterial pneumonia.

How do you treat Covid pneumonia?

Are There Treatments for COVID-19 Pneumonia? Pneumonia may need treatment in a hospital with oxygen, a ventilator to help you breathe, and intravenous (IV) fluids to prevent dehydration.

How long does it take for Covid pneumonia to clear up?

For the 15% of infected individuals who develop moderate to severe COVID-19 and are admitted to the hospital for a few days and require oxygen, the average recovery time ranges between three to six weeks.

What are the 4 stages of pneumonia?

Stages of PneumoniaStage 1: Congestion. During the congestion phase, the lungs become very heavy and congested due to infectious fluid that has accumulated in the air sacs. ... Stage 2: Red hepatization. ... Stage 3: Gray hepatization. ... Stage 4: Resolution.

What are the danger signs of pneumonia?

The signs and symptoms of pneumonia may include:Cough, which may produce greenish, yellow or even bloody mucus.Fever, sweating and shaking chills.Shortness of breath.Rapid, shallow breathing.Sharp or stabbing chest pain that gets worse when you breathe deeply or cough.Loss of appetite, low energy, and fatigue.More items...

Can pneumonia go away on its own?

Mild cases of pneumonia can go away on their own if you manage your symptoms and get adequate rest. Home treatment for pneumonia includes getting plenty of rest, drinking adequate fluids, steamy baths or showers, fever reducers, and avoiding smoking. In severe cases of pneumonia, hospitalization may be needed.

Will Covid pneumonia go away?

While most people recover from pneumonia without any lasting lung damage, the pneumonia associated with COVID-19 can be severe. Even after the disease has passed, lung injury may result in breathing difficulties that might take months to improve.

How long does it take for lungs to clear from pneumonia?

It may take time to recover from pneumonia. Some people feel better and are able to return to their normal routines within a week. For other people, it can take a month or more. Most people continue to feel tired for about a month.

How can you tell if pneumonia is viral or bacterial?

Diagnostic cues to differentiate viral from bacterial pneumoniaGradual symptom onset, with concomitant gastrointestinal or influenza symptoms,Prodromal viral infection of the upper respiratory tract,Lower body temperature,Lack of purulent sputum,History of immunosuppression or immune system suppressing disease.

How Is Bacterial Pneumonia Treated?

Bacterial pneumonia can be treated with antibiotics, which usually help people feel better within a few days to a week.2People who are very old, ve...

How Is Viral Pneumonia Treated?

Viral pneumonias are more likely to be treated at home, and not at the hospital.Viral pneumonia caused by the flu can be treated with an antiviral...

How Is Fungal Pneumonia Treated?

If the course of the pneumonia is slow and your chest X-ray looks unusual, you may have fungal pneumonia. These conditions can be diagnosed with a...

How Are Pneumonia Complications Treated?

Complications may be more common in pneumonia that starts after stomach contents are inhaled into the lungs, a type of condition called aspiration...

What Home Remedies Are There For Pneumonia?

There are no proven alternative treatments to get rid of germs that cause pneumonia, but there may be some home remedies that help with symptoms —...

Is There A Pneumonia Vaccine?

Because pneumonia can develop after a case of the flu, getting the seasonal flu shot can help prevent it.The Centers for Disease Control and Preven...

Can Vitamin C Fight Pneumonia?

The benefits of vitamin C were analyzed in a review published in April 2013 in the Cochrane Database of Systematic Reviews, which looked at three s...

How to treat pneumonia in the future?

It is important to take all the antibiotic until it is gone, even though you will probably start to feel better in a couple of days. If you stop, you risk having the infection come back, and you increase the chances that the germs will be resistant to treatment in the future.

What to do if you have pneumonia in the hospital?

If your pneumonia is so severe that you are treated in the hospital, you may be given intravenous fluids and antibiotics, as well as oxygen therapy, and possibly other breathing treatments.

How to get rid of an infection?

If your cough is preventing you from getting the rest you need, ask your doctor about steps you can take to get relief. Drink warm beverages, take steamy baths and use a humidifier to help open your airways and ease your breathing.

How to keep germs from spreading?

Cover your mouth and nose when you cough, promptly dispose of tissues in a closed waste container and wash your hands often .

What is the best medicine for fever?

Control your fever with aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen), or acetaminophen. DO NOT give aspirin to children.

How long does it take to recover from pneumonia?

Some people feel better and are able to return to their normal routines within a week. For other people, it can take a month or more. Most people continue to feel tired for about a month. Adequate rest is important to maintain progress toward full recovery and to avoid relapse.

Can you take cough medicine without a doctor?

Do not take cough medicines without first talking to your doctor. Coughing is one way your body works to get rid of an infection. If your cough is preventing you from getting the rest you need, ask your doctor about steps you can take to get relief.

How Is Viral Pneumonia Treated?

Viral pneumonias are more likely to be treated at home, and not at the hospital.

How Are Pneumonia Complications Treated?

Complications may be more common in pneumonia that starts after stomach contents are inhaled into the lungs, a type of condition called aspiration pneumonia.

What is necrotizing pneumonia?

Another dangerous variation is necrotizing pneumonia, a bacterial pneumonia that can result from a large number of pathogens, including staphylococcus. ( 6) Complicated pneumonias such as these may result in respiratory failure, which requires assisted breathing with a machine called a ventilator.

What causes pneumonia in the elderly?

Other causes of pneumonia include bacteria and fungi. Your doctor will outline a plan that's specific to you, considering the type of pneumonia you have, the severity of the condition, your age, and your overall health. From there, you'll know whether you can be treated at home or at the hospital, and whether or not you need antibiotics.

What is the procedure to drain the lung?

Your doctor may refer to this procedure as "lung scraping."

How many types of fungi cause pneumonia?

These conditions can be diagnosed with a blood test that shows your body is making antibodies to the fungus. More than 10 types of fungi can cause fungal pneumonia, which is more common in people with weakened immune systems. ( 5)

How to prevent pneumonia?

While there's no sure way to prevent pneumonia, there are a number of steps you can take to reduce your risk of infection. There are also proven methods for treating the various types of pneumonia, once properly diagnosed.

What are the symptoms of pneumonia?

Presenting symptoms of pneumonia are typically cough, pleuritic chest pain, fever, fatigue, and loss of appetite. Children and the elderly have different presenting features of pneumonia, which include headache, nausea, abdominal pain, and absence of one or more of the prototypical symptoms. Knowledge of local bacterial pathogens and their antibiotic susceptibility and resistance profiles is the key for effective pharmacologic selection and treatment of pneumonia.

What is the probability of pneumonia?

No individual component of the history or physical examination is useful in diagnosing pneumonia, but the presence of multiple findings is required (Table 2). In adults presenting with acute cough, the baseline probability of pneumonia is only 5%. Absence of any vital sign abnormality (blood pressure, heart rate, respiratory rate) reduces the predicted probability of pneumonia to 1%.8A chest radiograph should be ordered for any patient with abnormal vital signs defined as temperature higher than 100°F, heart rate higher than 100 bpm, or respiratory rate higher than 20 bpm. Imaging should also be obtained for physical examination abnormalities of crackles or decreased breath sounds in a patient without asthma.10Infectious Disease Society of America 2016 Guidelines recommend imaging with a demonstrable infiltrate to confirm the diagnosis of pneumonia and to exclude other causes of cough and fever such as acute bronchitis.11Although X-ray imaging is a mainstay of diagnosis of pneumonia, the British Thoracic Society recommends the entire clinical picture should be considered when making a decision to treat.12A systematic review found that among patients who are sick enough to be admitted with a clinical diagnosis of CAP but have a normal initial chest radiograph, approximately 1 in 10 will develop radiographic evidence of pneumonia within 72 hours.8In such cases, it is appropriate to treat the patient empirically for pneumonia and repeat imaging in 24 to 48 hours.11Community resources and access to imaging may also affect decision to treat without imaging.

What is considered a nonresolving pneumonia?

Pneumonia is considered “nonresolving” if there is an inadequate clinical response despite antibiotic treatment .11The incidence of treatment failure is 6% to 15% and is associated with a 5-fold increase in mortality.29IDSA broadly classifies nonresponse into 2 different groups: (1) progressive pneumonia characterized by clinical deterioration and (2) persistent pneumonia with absence or delay of clinical stability.11Progressive pneumonia with deterioration is characterized by respiratory failure and/or septic shock and typically occurs within 72 hours. Persistent pneumonia with absent or delayed response is typically considered after a time period of 72 hours, because this is often regarded as the median time required for clinical stability.11, 29

How common is VAP?

VAP is common. Approximately 30% of patients who receive mechanical ventilation will develop VAP.39

What is VAP in a tracheostomy?

Ventilator-associated pneumonia (VAP) is a type of pneumonia that occurs in patients who have been intubated or mechanically ventilated by means of a tracheostomy for at least 48 hours.37, 38Mechanical ventilation modifies the oropharyngeal and tracheal environment, allowing oral and gastric secretions to enter the lower airways.37It is this change in lower respiratory tract bacterial flora that precipitates the beginning of pneumonia.

Can corticosteroids be used for CAP?

In recent years, there has been emerging data supporting the use of adjunctive corticosteroids in the inpatient treatment of CAP. As this is an area of research, multiple recent systematic reviews and meta-analyses have been published, some with conflicting findings. A 2011 Cochrane review that included relevant CAP studies through the year 2010 showed that corticosteroid use accelerates time to symptom resolution and clinical stability, with infrequent adverse effects.19Similarly, a 2015 systematic review by Siemieniuk and colleagues20included studies from 2011 through mid-2015. Their analysis of 13 randomized controlled trials found significantly decreased mortality in severe pneumonia, decreased need for mechanical ventilation, decreased occurrence of acute respiratory distress syndrome, decreased time to clinical stability, and shorter duration of hospitalization.20Hyperglycemia requiring treatment occurred more frequently in patients treated with corticosteroids.20, 21The most recent IDSA and BTS guidelines do not make recommendations regarding the routine use of adjunctive corticosteroid for CAP.11, 12Given the variations in dose and route of administration, an optimal agent and dose is unknown. Further research is needed to determine steroid dosing and duration, as well as what patient populations are most likely to benefit from its use.20, 21

What's the link between COVID-19 and pneumonia?

A quick refresher first: COVID-19 is a serious respiratory illness caused by the virus SARS-CoV-2. It can lead to a range of intense symptoms, including a cough, fever, trouble breathing, and loss of taste or smell, according to the Centers for Disease Control and Prevention (CDC).

How is COVID-19 pneumonia different from other types of pneumonia?

COVID-19 pneumonia is different from other forms of pneumonia in that it doesn't necessarily cause people to get seriously ill right after they're infected. "You don't get sick immediately like you do with a lot of other viruses," Dr. Casciari says. "Then, in some people, the virus just explodes in the lungs, causing severe illness."

What are the symptoms of COVID-19 pneumonia?

The symptoms of COVID-19 pneumonia are basically the same as they are for other forms of pneumonia, Dr. Casciari says. Those include:

Who is more likely to get COVID-19 pneumonia?

Doctors can't necessarily predict who will develop COVID-19 pneumonia. "It is not yet understood why some people get pneumonia and others do not," Dr. Sala says. But, he adds, some people are considered higher risk than others, including people with the following health conditions or risk factors

How do doctors diagnose and treat COVID-19 pneumonia?

First and foremost, your doctor will want to confirm that you do indeed have COVID-19, likely through a swab or sample of respiratory secretions that can detect the genetic material of the SARS-CoV-2 virus.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Govind Desai
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The course of treatment depends on the cause of infection, symptoms and severity of the condition.
Medication

Antibiotics: To treat bacterial infection.

Levofloxacin . Azithromycin


Antivirals: To treat viral infection.

Oseltamivir . Zanamivir


Antifungals: If the infection is caused by fungi.

Fluconazole . Itraconazole


Analgesics: To ease symptoms of pain.

Acetaminophen . Ibuprofen


Cough suppressants: To relieve cough.

Dextromethorphan . Codeine

Therapy

Oxygen therapy:To maintain oxygen level in the blood.

Self-care

Always talk to your provider before starting anything.

  • Take rest
  • Drink plenty of fluids
  • Do not over strain the body

Nutrition

Foods to eat:

  • Increase fluid intake; broth based soups provide relief from symptoms
  • Take plenty of fruits and vegetables
  • Consume lean proteins such as chicken

Foods to avoid:

  • Refined starch and sugar; pasteurized milk and dairy products

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.

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