Diagnosis and treatment of community acquired pneumonia

Yıl 2015, Cilt: 6 Sayı: 2, 63 - 72, 14.09.2015

Reyhan Öztürk Sami Kınıklı Salih Cesur

Öz

Pneumonia is defined as inflammation and consolidation of lung tissue due to infectious microorganisms. Community acquired pneumonia is a syndrome in which acute infection of the lungs develops in persons who have not been hospitalized recently and have had little contact to the health care system. It is a common condition and its attack rates are highest in elderly persons. Community acquired pneumonia can vary from a mild outpatient illness to a more severe disease, requiring admission to a hospital or even an intensive care unit and it remains an important cause of morbidity and mortality. Streptococcus pneumoniae is the most common pathogen and Respiratory Syncitial virus is the most common important viral pathogen in children. Therapeutic strategies are usually empiric, based upon demographic and epidemiologic factors. In this manuscript, epidemiology, etiology, risk factors, diagnosis and treatment of community acquired pneumoniae are summarised.

Key words: Community acquired pneumonia, epidemiology, etiology, diagnosis, treatment

Anahtar Kelimeler

Community acquired pneumonia, epidemiology, etiology, diagnosis, treatment

Toplum kökenli pnömonilerde tanı ve tedavi

Öz

Pnömoni, enfeksiyöz bir mikroorganizmanın neden olduğu akciğer dokusunun konsolidasyonu ve inflamasyonudur. Toplum kökenli pnömoni (TKP) yakın zamanlarda hastanede yatmamış ya da düzenli sağlık bakımı almamış kişilerde, akciğerlerde gelişen akut bir enfeksiyondur. Sık rastlanan bir durumdur ve görülme sıklığı yaşlı hastalar arasında daha yüksektir. Toplum kökenli pnömoni ayakta geçirilen hafif bir enfeksiyondan, hastanede yatmayı hatta yoğun bakımı gerektirecek ağır bir hastalığa kadar değişik varyasyonlarda olabilir ve hala morbidite ve mortalitenin önemli bir nedenidir. Erişkinlerde Streptococcus pneumoniae en sık izole edilen patojendir, çocuklarda ise Respiratuar Sinsityal virüs en sık neden olan viral ajandır. Tedavi stratejileri sıklıkla epidemiyolojik ve demografik veriler ışığında ampiriktir. Bu yazıda toplum kökenli pnömoninin epidemiyolojisi, etiyolojisi, risk faktörleri, tanı ve tedavisi özetlenmiştir

Anahtar kelimeler: Hastane kökenli pnömoni, etiyoloji,  tanısı, tedavisi

Anahtar Kelimeler

Hastane kökenli pnömoni, etiyoloji, tanısı, tedavisi

Kaynakça

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