Antibiotic treatment of pneumonia and Western Medicine

1. General support therapy

Patients should bed rest, Precautionary, Yi Xiaohua eating food. Fever should the water, if necessary, intravenous fluid replacement. High fever should cool down or cooling physical medicine. A short breath, cyanosis symptoms such as hypoxia, the oxygen tube to nose irritation may be keen to cough codeine 15 ~ 30 mg, daily 2 to 3 times. Expectorant available ammonium chloride, brown mixture.

2. Application of antibiotics

Antibiotics can be used for all kinds of bacterial pneumonia and the prevention of viral pneumonia complicated by bacterial infections, against pathogens and sensitivity test with medication.

(1) pneumococcal pneumonia: preferred penicillin G. Adult patients with mild 800,000 U, intramuscular injection, three times a day. Heavier, to 2.4-4.8 million U, intravenous infusion, once every six hours, severe and complicated by meningitis, increased to 1,000 a day to 30 million U-sharing four intravenous drip. Or the first or second-generation cephalosporins, such as cefalotin, cefazolin, cephalosporins, such as hydroxyl唑. Penicillin and cephalosporins should be done before treatment of skin allergy test. Allergic to penicillin, erythromycin mild available daily 1.5 g, intravenous infusion or by Lin lincomycin, a daily 2 g, intravenous drip. Condition improved after oral compound sulfa-isoxazole; twice daily, every two or cephalexin 0.5 g, once every six hours.

(2) hospital infections: Available penicillin G, 300 a day to 10 million U, in four or intravenous injection. For part of the hospital and outside of the penicillin-resistant Staphylococcus aureus infection, should vote to β-Amine, phthalocyanine antibiotics such as oxacillin penicillin, o-penicillin, the daily 4 ~ 6 g, at 2 or intravenous injection. Can also be used vancomycin 1 ~ 2 g daily intravenous drip. Erythromycin, lincomycin or chlorine lincomycin Lin has some effect, cephalosporin antibiotics can also be tested in the penicillin-resistant strains. Effect of antibiotics amino sugar with the drug combination, with empyema, meningitis, endocarditis, as well as kidney and brain, myocardial metastatic abscess, available daily penicillin G1000 ~ 3000万U, at 4 to 6 times infusion.

(3) Klebsiella pneumoniae: preferred aminoglycoside antibiotics, such as gentamycin, kanamycin, tobramycin, amikacin, and so on. Piperazine penicillin oxygen, sulfur and benzene imidazole penicillin-type Effect combined with better-performing. Severe to increase with cephalosporins such as the hydroxyl唑cephalosporins, cephalosporins methicillin-thiophene, cephalosporins, such as ammonia cefotaxime. Some cases the use of chloramphenicol, tetracycline and sulfamethoxazole also effective.

(4) other gram-negative bacillus pneumonia: Pseudomonas aeruginosa pneumonia and a high mortality rate, to the use of antibiotics. Carboxymethyl benzylpenicillin daily 20 ~ 30 g infusion