Got citric acid bacilli pneumonia to want to eat after all what?

summary

Citrobacter pneumonia is a pulmonary inflammation caused by Citrobacter infection. Citrobacter is a genus of Citrobacter in Enterobacteriaceae, which includes three species, namely, Citrobacter heteromorpha, Citrobacter freundii and Citrobacter non malonate. Citrobacter pneumonia is more common in hospital acquired infection, and its clinical manifestation is similar to that of general acute bacterial pneumonia. Got citric acid bacilli pneumonia to want to eat after all what?

Got citric acid bacilli pneumonia to want to eat after all what?

1. The main symptoms are chills, fever, cough, yellow phlegm or white sticky phlegm, chest pain and dyspnea. Some patients may have abdominal pain, diarrhea and other gastrointestinal symptoms. Because Citrobacter pneumonia can be seen in septic pneumonia, the symptoms of systemic poisoning are obvious. But for the original chronic obstructive pulmonary disease and other secondary Citrobacter pneumonia, the symptoms may not be typical, but the existence of the primary disease can cover up the symptoms of pneumonia. The patients may be characterized by high fever, increased cough, yellow phlegm, respiratory failure, heart failure, or aggravation of primary disease.

2. The signs may be enlarged respiratory sounds, decreased respiratory sounds in the early stage of the disease, and moist rales may be heard in the dissipation stage. When the consolidation of lobes and segments occurs, the corresponding lobes and segments may have speech tremor enhancement, percussion dullness, bronchial breathing sound or moist rales. If complicated with pleural effusion, there may be effusion, side language tremor and respiratory sound are weakened. In addition, some patients with severe condition may have shortness of breath, cyanosis, decreased blood pressure, jaundice, etc.

Early selection of sensitive antibiotics is the key to treatment. Now it is considered that the third generation cephalosporins and quinolones still have strong antibacterial activity against Citrobacter. The sensitivity of different Citrobacter species to antibiotics varies greatly. Therefore, the application of antibiotics should be based on drug sensitivity, and cephalosporins or quinolones should be selected. Before drug sensitivity, the third generation cephalosporins or quinolones combined with aminoglycosides such as amikacin (amikacin) can be used for empirical anti infection treatment.

matters needing attention

Patients with Citrobacter pneumonia accompanied by primary diseases and complications should be actively treated and supplemented with adequate nutrition. For severe patients, fresh plasma, human albumin and human gamma globulin (gamma globulin) can be infused appropriately. For patients with decreased white blood cell or granulocyte count, recombinant human granulocyte colony stimulating factor can be used in addition to active anti infection treatment. Strengthening nursing can prevent cross infection.