This is associated with significant morbidity...

Community acquired pneumonia (CAP) is defined as an acute infection of the lung parenchyma in patients who acquired infections in the community, unlike nosocomial (nosocomial) pneumonia (GAP). The third category of pneumonia, designated health care-associated pneumonia (HCAP), acquired in other healthcare facilities such as nursing homes, dialysis centers and clinics. CAP is a common and potentially serious disease. This is associated with significant morbidity and mortality, especially in elderly patients and those with significant concomitant diseases [

]. (See)

VP treatment in adults on an outpatient basis will be considered here. A number of other important issues related to the CAP are discussed separately. These include:

diagnostic approach to patients with community acquired pneumonia. (See)

As one makes a decision to admit patients with community acquired pneumonia in the hospital. (See)

Recommendations for treatment of IP in patients requiring hospitalization. (See)

Recommendations for patients with medical-associated pneumonia. (See)

evidence of the effectiveness of different antibiotic medications for the treatment of CAP and empirical issues associated with drug resistance. (See)

Epidemiology and Microbiology CAP. (See)

Pneumonia in special populations, such as aspiration pneumonia and patients with weakened immune systems. (See

s).

Determine whether a patient with community acquired pneumonia (CAP) can easily be seen as an outpatient or require hospitalization is necessary before selecting antibiotic regimens. The severity of the disease is the most important factor in making this decision, but other factors must also be taken strattera 40mg into account. These include the ability to maintain oral intake, the likelihood of compliance, history of drug abuse, cognitive disorders, life situation and functional status of the patient. These issues with the relevant references are discussed in detail elsewhere. (See).

Usually we think of stethoscopes listen ...

How do you feel? Most children with pneumonia will feel sick. Symptoms can vary depending on the overall health of the child and whether it is caused by viruses or bacteria. In bacterial pneumonia, the child may feel sick suddenly and have a high fever with chills. Viral kind of pneumonia might happen more slowly and longer to go. In any case, the child may feel that he or she has the flu with cough, fever, headache, and sometimes abdominal pain. Pneumonia often causes chest pain, too, and feeling like you can not quite catch my breath. Baby can breathe faster than normal, and can fork out gloppy. Pneumonia can even make a child feel sick to your stomach his own, and not hungry at all. It's not very fun, but with proper treatment, most children with pneumonia recover completely. How do doctors do? To diagnose pneumonia, the doctor strattera first to ask questions about how you feel, including how well you are breathing and see you. The doctor will listen to your chest by stethoscope (for example:

steth-and-skope). We usually think about stethoscopes listening for heartbeats, but they help doctors hear what's happening in the lungs, too. Your lungs do not beat, but a doctor can hear sounds that they make. If fluid is a sign of pneumonia, he or she could hear the bubbles and crackling sounds called rales (say:

rayls). If your doctor thinks you might have pneumonia, he may order a chest x-ray and begin treatment immediately. In X-ray, the doctor can often see signs of pneumonia infection. Any accumulation of fluid or infection often appears as a cloudy, patchy white area in the usual space of transparent light. In some cases, X-ray can help doctors tell if the infection is caused by a virus or bacterium. .

Most people with helicobacter infection...

H. pylori

What is H. pylori? H. pylori

(helicobacter pylori) is a bacterium that is in the stomach and is responsible for most cases of peptic ulcer. About half the world's population has this bacterium makes it the most common bacterial infection in humans. H. pylori

more common in developing countries. The risk of infection of H. pylori

associated with socio-economic status and poor living conditions such as overcrowding cameras, lack of clean, running water and more brothers and sisters. As a result, most children in developing countries infected to 10 years. In New Zealand a higher prevalence observed among Maori and Polynesians. Studies show that about 5% of European children become infected before the age of 20 years, unlike 50% of Polynesian children. The exact route of infection remains unknown, but from person to person through oral transmission / oral or fecal / oral effects are the most likely cause. This means that activities such as shared meals, cutlery or poor toilet hygiene can lead to transmission of H. pylori

another person. What diseases are clearly correspond with helicobacter infection >> <<? H. pylori causes direct disease of the stomach. Other diseases, probably related to the immune response of the organism to the bacteria. What are the symptoms of Helicobacter pylori infection >> <<? Most people with helicobacter infection >> << have no symptoms. Symptoms occur if the infection H.

Pylori causes peptic ulcer or gastritis. These symptoms may be nonspecific and range from:

As H. pylori

damage the stomach? Damage to the gastric mucosa occurs through a complex interaction between bacteria and host immune response. H. pylori produces

several enzymes and microbial products that directly damage the gastric mucosa. The immune system responds to the installation of ornate inflammatory response in an attempt to destroy bacteria. As a consequence of this inflammatory reaction, stomach inadvertently damaged. What studies exist for helicobacter? There are several tests available to detect the presence of H. pylori blood test

This defines the specific antibodies against the bacteria H. pylori >>. Check for expiration << This includes drinking specialized carbon labeled urea solution. This solution-by H. pylori

and its breakdown products can be detected in breath. Chair this detects H. pylori

proteins in feces. Endoscopic test This is due strattera cost to the use of optical devices for visual inspection of internal parts of the body. A flexible tube inserted through the mouth into the stomach and upper small intestine. Small tissue samples can be taken from the stomach wall, which are then tested for H. pylori

. Test of blood and breath test, often the first line approach testing H.pylori. Endoscopic biopsy of invasive procedure, and often for patients who need endoscopy for another reason. Who should be tested? Testing is not recommended for people who are asymptomatic (without symptoms) or have a history of peptic ulcer. However, some groups who are at risk of ulcers or stomach cancer may be considered for testing asymptomatic. What is the treatment? Treatment of Helicobacter pylori infection >> << involves taking several drugs for 7 to 14 days (triple therapy), that was, proton pump inhibitor (inhibitor of gastric acid secretion) such as omeprazole 40 mg once a day , amoxicillin 1 g twice daily and clarithromycin 500 mg twice a day. Treatment with 90% of people. What is the relationship of H. pylori

to skin diseases? H. pylori

was involved in various diseases unrelated to the gastrointestinal tract. The skin is an example and some research has shown us the following terms:

4.5 Chronic Some studies have shown the relationship between H. pylori infection

and chronic urticaria. It is believed that infection H.

Pylori increases the permeability of the gastric mucosa, thereby increasing the influence of allergens (substances that cause allergies) in the gastrointestinal tract. In addition, the immune response to H. pylori

produces antibodies that can stimulate the release of histamine in the skin. H. pylori

can increase levels of nitric oxide in the blood or tissues facilitates flushing and erythema (redness) of rosacea. H. pylori

may be one of the body can cause an inflammatory response in psoriasis. H. pylori

can cause autoimmune reactions and skin glands causing Sjgren syndrome. Generalized immune thrombocytopaenic or treatment H. pylori

effect on skin disorders? Several small studies have shown that eradication of H. pylori

is positive for some skin diseases such as chronic urticaria, the disease Behcheta, red lichen planus, atopic dermatitis, Sweet disease and systemic sclerosis. Conditions that can not use privileges are psoriasis, rosacea. These studies are not randomized and include a small number of patients, so no definitive conclusion can be drawn on the Elimination of H. pylori

for skin diseases at present. .

Normal flora that cause inflammation of the bladder -

Normal flora E. coli that cause infections of the urinary bladder -

port T. Bacterial disease always begins with the infection, when bacteria enter the body, bypassing the first number of physical and chemical protection of the immunity system. Skin and mucous membranes are physical barriers to infectious agents. These physical barriers also produce chemicals such as sweat, sebum and enzymes that can destroy potential pathogens. However, microbes are sometimes still able to disrupt the system. What is a bacterial infection? When bacteria enter the body they affect. However, this term applies to the presence of bacteria, which may or may not lead to disease. In fact, many species of bacteria normally exist in the body. These bacteria are called normal flora and have a mutually beneficial,

to their master. Some of them provide vitamins, others help us digest food, or simply crowd out other types of bacteria that can harm the body. The infection is not identified with the disease. The term infection only means that infectious agents like bacteria was introduced into the system. Terms of the body (eg, pH) changes, which allow certain microbes to overpopulate

term illness of infectious diseases used in the presence of the bacteria damage the body and cause disease. For example, most infections of the urinary bladder, a condition also known as cystitis caused by E.

(GIT) bacteria that have made their way from the anus to the external genitalia, and then up the urethra into the bladder. Intestinal, but they are only useful when in the digestive tract, where they belong. On the other hand, the bladder is usually sterile area of ​​the body, so that the presence of bacteria is abnormal. Intestinal bacteria enter the bladder can hang on the mucosa, where they were at each other rapidly growing population in that uncomfortable result of symptoms (burning, pain, urgent urge to urinate). Women have a higher risk of bladder strattera infection through the short urethra and its proximity to the anus. Sulfa antibiotics are generally proposed to deal with this type of infection. After treating the infection of the bladder, many women eventually develop another problem - vaginitis, yeast infection. Yeast is not bacteria, but another type of bacteria, fungi, that have the potential to cause disease. Yeasts are usually present in the vagina in small numbers. Their population growth slows down normally acidic vagina. The presence of bacteria, helping to create this acidic environment, as well as bacteria compete with yeast, limiting their growth. Most antibiotics kill both bacteria and normal bacterial flora. They are not accurate. During the course of antibiotics to reduce inflammation of the bladder, the bacteria also killed in other parts of the body such as the vagina. The absence of bacteria in the vagina allows the yeast population to expand. Yeast, like other fungi, with power to produce enzymes that break down organic matter around. When it occurs in living tissue, it is annoying and inconvenient, to say the least. For the treatment of fungal infections, antifungal drugs should be offered. To learn more about microbes and infectious diseases, see. Bauman, R. (2007)

Microbiology diseases taxonomic Benjamin Cummings Pearson. MedicineNet (2010). WebMD (2010) Understanding the urinary bladder: Introduction. .>