The Doctor's Consultation / / August 12, 2017
Hello!My mother 60 years old, in her early December is very cold feet at the bus stop.Since then, she is ill, was at first a cold, went to the hospital said suspected bronchitis, antibiotics are discharged and sent home.In mid-December, she fell ill with a temperature of exactly 40 and a strong cough.Since then she is in the hospital, doctors said, we are doing everything possible and no improvement.The diagnosis of pneumonia.What can be cured, and if possible ???Thank you so much!Natalia, Perm.
Hello, Natalia.If the diagnosis "pneumonia" is set precisely, ie it is not obstructive pulmonary disease, tuberculosis is not without brohnoektaticheskaya disease and viral pneumonia - then surely prescribed antibiotics.If after 3 days of administration of the antibiotic does not work, that is, the temperature does not decrease - it is replaced if over 3 days does not help - again replaced, and so on.If your mother has normal temperature, then the infection could handle.Recovery after a long period
According antibiotics: usually recommended to adhere to the following scheme: macrolides (azithromycin) in combination with the cephalosporin 3 generations, amino-protected penicillins (amoxiclav) or ertapenem.The alternative - the appointment of fluoroquinolones (Tavanic) with 3rd generation cephalosporin (ceftriaxone).In some cases, effective drugs with activity against Pseudomonas aeruginosa - cefepime, meropenem - in combination with fluoroquinolones (levofloxacin), macrolides and aminoglycosides 2 - 3 generations.In view of the increasing incidence of influenza such therapy should be supplemented by a drug "oseltamivir" that is, "Tamiflu".
duration of antibiotic treatment is 10 days.If they do not help, therefore, likely to develop complications - lung abscess, empyema, or infection rarer microbes.
I advise you to write down the scheme given on the leaflet and make an appointment to the head of department.Ask him for help.You must have the staff to treat your mother, so any accusations of you will be perceived badly.Try to make a call, so that you the doctor explained everything, including noted on your piece of paper, which received drugs or get your mom.Ask how you can still help her, maybe buy a nebulizer for her, or hire a masseur vibrating massage of the chest (if no temperature).Ask what measures are going to take the doctor, how long can we expect to improve, whether it is possible to invite to consult members of the department (if your town has a medical school).Of course, it has to be carried out CT scans of the chest and the susceptibility of microbes to antibiotics.