Tuesday, March 11, 2008

Pneumonia caused by anaerobic microorganisms

Cause pathogenesis adult throat secretions of every 107 ml of aerobic and anaerobic 108. including peptostreptococcus, Peptostreptococcus species; spindle bacilli and production of Clostridium perfringens, such as Bacillus. More with other anaerobic pathogens in the lung form of mixed infection. Pathogenic anaerobic cocci Gram-positive staining; Anaerobic bacillus cereus and spindle Gram-negative staining. Anaerobic conditions in the culture-sensitive bacteria can grow. Bad oral health, there is generally parasitic anaerobic microorganisms, sleepers, coma or narcotic cases of lower respiratory tract can be inhaled and cause pneumonia. Tonsillitis, female reproductive tract and some inflammatory bowel perforation, the main pollution may have anaerobic bacteria, With hematogenous spread to the lungs, can cause lung infection. Clinical manifestations of pulmonary necrosis sustained anaerobic infections, and abscess formation empyema, pyopneumothorax. Clinical there are high fever, weakness, weight loss, anemia and clubbed fingers. Sputum covered, it is a bad-egg smell of its clinical features. Lung consolidation and pleural effusion signs. Total white blood cell and neutrophil cells increased. X-rays showed bronchial pneumonia or accompanied by empyema, pleural effusion, and other features. Treatment of penicillin G Gram-positive anaerobes effective, the daily 10000 -1000 six million units, intravenous four times, But Bacteroides fragilis were multidrug resistant. Clindamycin (clindamycin) for various anaerobic are valid. Metronidazole 400 mg daily oral dose of 2 hours, or intravenous infusion ,5-7 days for a course of treatment. Very effective against anaerobes. Could be used chloramphenicol, Aluolin, mezlocillin treatment. Nosocomial infections for patients in the mixed infection, with the amino-glycosides in conjunction with antibiotics.

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