How is pneumococcal pneumonia treated?

Updated: Aug 27, 2018
  • Author: Claudia Antonieta Nieves Prado, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

Presenting signs and symptoms widely vary in patients with pneumococcal pneumonia, from mild illness to severe pneumonia to respiratory distress requiring ICU-level care. Factors such as age, type of symptoms, duration of symptoms, underlying and/or chronic illness, compliance with treatment, appropriate home care and potential for worsening disease must be considered in determining the need for and level of hospitalization. There are several scoring systems to appropriately triage patients with pneumonia and decide level of care. [59, 60, 61, 62, 63, 64, 65]

Most hospitalized patients should be treated with parenteral antibiotics in addition to medications for pulmonary symptoms, pain medications, intravenous fluids and/or parenteral or enteral nutrition, oxygen, and additional medications, as indicated on an individual basis. [66, 67, 68, 69, 70]

Diabetes appears to be the only underlying condition that by itself worsened mortality in ICU patients with invasive pneumococcal disease. [71]


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