Different pneumonias, with different pathogens, have different antibiotic choices

Pneumonia is a common disease in the respiratory department, and this article introduces pneumonia in different situations, common pathogens, and the corresponding antibiotic selection.

First, young people who are not usually sick: the main pathogens are chlamydia, mycoplasma, Streptococcus pneumoniae, as well as influenza viruses, Haemophilus influenzae, etc. Quinolone antibiotics such as levofloxacin tablets, semi-synthetic penicillins, semi-synthetic penicillins/enzyme inhibitors, cephalosporin antibiotics, etc. are generally chosen.

Second, the elderly who usually have diseases, more than 65 years old: Klebsiella pneumoniae, Haemophilus influenzae, Streptococcus pneumoniae, etc. Cephalosporin antibiotics are generally chosen, such as third-generation cephalosporins, which can be Shupushen. There are also semi-synthetic penicillin/enzyme inhibitors such as piperacillin, tazobactam injection, and other drugs.

Clinically, if pneumonia is suspected, chest CT is generally required to confirm the diagnosis, and blood routine and C-reactive protein are checked to help determine whether pneumonia is serious. If it is not severe, it will be prescribed antibiotics on an outpatient basis, and if it is severe, it will require infusion antibiotic treatment, and it needs to be hospitalized as much as possible.

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