's general knowledge of difficult reason to manage of the elderly's bacterial pneumonia

's general knowledge of difficult reason to manage of the elderly's bacterial pneumonia
Bacterial pneumonia (bacterialpneumonia) Accounts for 80% of all kinds of pathogen pneumonia of adult. Enter antibiotic era, the prognosis of the bacterial pneumonia is improved notably for a time, but occupy from the case fatality rate after the sixties too high to lower. Bacterial pneumonia presents some new characteristics at present, including pathogenic table changes, especially g - bacillus rate of pneumonia rises notably in the hospital, though pneumonia streptococcus still occupies an leading position in community acquired character pneumonia and pathogen, but clinical manifestation can not prone to typically more.
The bacterium is able to bear medicine rate and increase, the so-called " difficult managing " Pneumonia is of common occurrence, especially the case fatality rate is extremely high among children, the elderly and immunity inhibit a patient. Improve aetiology and diagnose competence, antibiotic of rational application, avoid being able to bear the medicine fungus to present, and it is pneumonia to improve and support to treat and deal with the problem that the respect needs emphasizing and solving clinically urgently.
Why is the elderly's bacterial pneumonia so difficult to manage?
1,The organism is old and feeble, the elderly's immunity is reduced.Some old men have low nutrition, some old men need to take glucocorticoid and immune inhibitor for a long time because of disease, this is the reason causing the immunity to be low too.
2,Old man keep in touch with function, subside naturally, centre cough reflex lower, lead to the fact angry avenue purify, drive ability out, subside.The elderly, generally with some chronic diseases, for instance: Chronic obstructive pulmonary tuberculosis, bronchiectasis, asthma, lung fiber, pneumoconiosis, outmoded pulmonary tuberculosis, sucking pneumonia, renal function obstacle, cerebrovascular diseases, diabetes, hepatopathy,etc., this is extremely apt to erupt simultaneously the airway infection.
3,Old man's sucking pneumonia extremely incident.There are materials that are reported: 198 swallow person who suck that cause in the pneumonia by mistake, have, swallow history person, account for 62% by mistake obviously, though 38% of the patients have not suddenly swallowed the medical history by mistake, but people these repeated small quantity swallow by mistake, suck to lower angry way but can't purify, remove the intersection of upper respiratory tract and secretion in sleep while eating mostly too. Another reason which cause sucking pneumonia results from swallowing and reflecting weakening with cough reflex.
In addition, because abuse antibiotic long-termly, heavily dose of, unreasonably, cause a large number of production able to bear the medicine fungus, it is the difficult reason to manage of old man's pneumonia too.
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