Disease Information for Pneumonia, bacterial: Definition

  • Pneumonia caused by various species of bacteria; Bacterial pneumonia commonly results from bronchogenic spread of infection following microaspiration of secretions; The largest category of this disease arises from community-acquired pneumonias;

    Pneumonia/Community Acquired ; Bacterial Pneumonia; Cough productive of Purulent Sputum ; Sudden onset; Fever and Chills; Ill appearing patient; Pleuritic Chest Pain; Tachypnea ; Tachycardia ; Viral Pneumonia ; Non-productive cough; Gradual Onset with prodrome (malaise and Headache); Chest XRay more impressive than exam ; Onset in fall or winter; Wheezing more common in viral causes; Low grade temperature (<101.3 F); Mycoplasma pneumonia ; Constant, harsh, non-productive cough ; Wheezing may occur in Mycoplasma pneumonia ; Fever typically lasts longer than 3 days ; More common in age over 3 years ;Sputum Examination ; Sputum Gram Stain ; Sputum Culture ; Efficacy of Sputum exam ; Sputum has low diagnostic yield in CAP ;Not recommended in community acquired pneumonia.

    Indications for other lab work; Moderate or severe community acquired pneumonia; Patient with comorbid conditions; Efficacy of Labs ; No value in non-severe community acquired pneumonia ; Blood Culture not indicated unless severe disease ; Radiology ; Chest XRay ; Does not exclude pneumonia in severe illness ;Serial Chest XRays may be needed ; Acute Respiratory Distress Syndrome ; Severe Acute Respiratory Syndrome Fever ; Brucellosis ; Comorbid neurologic disease : Renal disease ; Congestive Heart Failure ;Hypotension ; Tachypnea ;

    -- Family Practice Notebook 2005 --