0,12 CME

Nafas terakhir Anda: Meningkatkan kesadaran pada Hari Pneumonia Sedunia

Pembicara: Dokter MV Ramachandra

Consultant PulmonologistKauvery Hospitals.

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Keterangan

In 2019, pneumonia alone claimed the lives of 2.5 million people, including 672,000 kids. A pneumonia crisis across the life course is being fueled by the COVID-19 pandemic, climate change, and conflict, putting millions more at risk of illness and death. It is predicted that 6 million people will die from respiratory illnesses in 2021, including COVID-19. However, the extremely young and the very old are the ones who are most at risk. Children are especially at risk in communities where immunization rates are dropping, malnutrition rates are growing as a result of food shortages, and houses utilize polluting fuels for cooking and heating. If prompt action is not taken to reach these youngsters, particularly with oxygen and antibiotics, UNICEF has warned that the number of child deaths will skyrocket.

Ringkasan

  • Pneumonia is a major health concern, particularly for young children and older adults. It's a leading cause of mortality, often overlooked despite its severity. Early recognition and awareness campaigns are crucial for combating this disease. The speaker highlights the significance of World Pneumonia Day in addressing this issue.
  • The presentation traces the historical milestones in understanding pneumonia. From Hippocrates' early observations to Edwin Klebs' identification of the bacteria in 1875, and the subsequent work of Friedlander and Albert Frankel, the speaker emphasizes the contributions of key figures in medical history. The discovery of penicillin by Alexander Fleming was also a pivotal point.
  • The technical aspects of pneumonia were discussed, defining it as an infection of the alveoli caused by various pathogens. Risk factors include age, smoking, alcoholism, and immunocompromised status. Symptoms range from fever and cough to confusion and breathlessness. Diagnosis involves assessing signs and symptoms, followed by investigations and radiology.
  • Various scoring systems, like CURB-65 and SMART-COP, are used to assess the severity of pneumonia and determine the need for hospitalization or ICU admission. Diagnostic investigations include blood counts, arterial blood gas analysis, and sputum cultures. Radiological findings, such as consolidations and air fluid levels on chest X-rays and CT scans, aid in diagnosis.
  • Pneumonia spreads through inhalation, aspiration, or hematogenous routes. Different types of pneumonia, including community-acquired, hospital-acquired, and aspiration pneumonia, necessitate tailored treatment approaches. The choice of antibiotics depends on the type of pneumonia and the presence of antibiotic resistance.
  • The lecture emphasizes the importance of infection control measures in hospitals to prevent ventilator-associated pneumonia (VAP). These measures include adequate staffing, hand hygiene, aseptic techniques, and equipment decontamination. Specific prophylaxis, such as improved sedation methods and selective decontamination of the digestive tract, can further reduce the risk of VAP.
  • Vaccination is a crucial preventive measure, particularly against pneumococcal pneumonia. Both children and adults at risk should receive pneumococcal vaccines. The speaker concludes by emphasizing that pneumonia is treatable, promoting the motto of "Healthy Lungs for All."

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