Wednesday, February 22, 2012

However, for early detection of secondary...

Chemical pneumonia may be difficult to distinguish from bacterial pneumonia, aspiration, and whether to give antibiotics


is controversial. Review of strattera 40mg current practice among yntensyvystov showed that antibiotic therapy is often given empirically for noncommunicable


chemical pneumonitis. This practice raises concern about higher costs of treatment and resistance to antibiotics. ,,


Also, antibiotics do not seem to alter the clinical results, including radiographic resolution, duration of hospitalization, or death


and they do not affect the subsequent development of infection. ,,,


Where witnessed or strongly suspected aspiration of gastric contents, antibiotics are not justified because the bacterial infection >> << are unlikely to cause any signs or symptoms. ,,


However, for early detection of secondary infection, respiratory condition of the patient should be monitored carefully and chest radiography


should be repeated. Less obvious cases, ie if it is not clear whether the patient actually has a chemical pneumonitis and bacterial primary


aspiration pneumonia should start antibiotics empirically after a lower respiratory tract secretions for


stain and culture, and then review within 48 to 72 hours. Antibiotics may be discontinued if the patient has a quick >> << clinical and radiological improvement and negative cultures. Those whose condition does not improve or who have positive cultures


should get a full course of antibiotics. ,


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