Treatment and preventing _'s treatment that infect the pneumonia streptococcus

Treatment and preventing _'s treatment that infect the pneumonia streptococcus
The pneumonia streptococcus is the common pathogens of pneumonia, mainly infect children and the elderly. Nearly two, over the past thirty years, the intersection of pneumonia and to to able to bear nature, prevail day by day antibiotic streptococcus, bring the difficulty to clinical treatment.
When suspecting the pneumonia streptococcus is infected, should gather the sample before using antibiotic, for instance secretion of respiratory tract, blood and thorax accumulate the liquid etc., measure aetiology, avoid causing the false negative result that aetiology measures by the fact that antibiotic is employed. Moreover, consider factors such as other possible etiology, disease severity, course of disease, disease and age,etc. while choosing antibiotic, according to relations such as antibiotic - organism - pathogen, choose the most suitable, effective and safe antibiotic, and should give consideration to the individual characteristic.
Have materials reveal the pneumonia streptococcus to loud intra-annular ester type already at home ' Including erythromycin, A are very mould and plain,etc.) , sulfanilamide antibiotic able to bear medicine rate very high, doubt, it examines to be or unsuitable to select for use infect, for fungus this clearly. In some areas, the pneumonia streptococcus is relatively high too to the insensitive rate that penicillin, very beginning spore Chloe, furan of very beginning spore are new,etc., should determine whether to select for use or not according to the local actual conditions. Pneumonia streptococcus are generally sensitive to not west forest of A, spore's Qusong of very beginning, can be regarded as the experience and chosen. If there are antibiotic sensitiveness detection results, choose the medicine according to medicine sensitiveness.
Can prevent from infecting by inoculating streptococcus vaccine of pneumonia. The pneumonia streptococcus has 90 serum types, can't prepare vaccine including all serum types yet at present. According to infecting materials that the serum type of the bacterial strain is distributed clinically, mainly there are two kinds of vaccine going on the market at present: Albumen including 7 kinds of serum types- Many candies combine vaccine ' 7 price pneumonia coccus combines vaccine) With membrane many candies vaccine of pod (PPV) including 23 kinds of serum types . 7 price pneumonia coccus has a good immune result to combine vaccine in each age bracket, but it is the children under the age of 5 that it registers target that uses. Smaller than 2 year old children inoculate, need in 2 - 4 - 6 with December and all 15 months old inoculate 1 pharmaceutical; 2- 5 year old have, suffer from serious the intersection of pneumonia and streptococcus, infect dangerous children (if sickle erythrocyte disease, spleen damage or have spleen, AIDS, chronic the intersection of heart and lungs and disease of factor, or have other states of the immunological function of influence) Also need to inoculate, the number of times inoculated depends on children's age. 7 the intersection of price and the intersection of pneumonia and coccus it combines vaccine inoculation to be safe usually, can cause, generate heat and not easy to defy, make while being even. Have already known that the children with serious allergic response of a certain composition can't inoculate to combine 7 price pneumonia coccus in vaccine. General cold can still inoculate, but if the condition is relatively serious, should inoculate after recovering. Usually this kind of vaccine can inoculate with other vaccine at the same time.
Because the intersection of pod and the intersection of membrane and many the intersection of candy and antigenic particularity of property, under the age of 2 children inoculate PPV, can't cause effective immunoreaction. So, PPV mainly applies to the elderly, or have children over 2 which exchanges the dangerous factors of senses, in order to increase the protection domain. PPV can present some pain and red swelling after injecting, often disappears during 48 hours; What generated heat with myalgia reacted all over individually; React seriously all over, if the allergic response is rare. Generally, PPV only needs to inoculate once.
Vaccine inoculation can also obtain other benefits in public health besides the persons who can be protected and inoculated. Because 7 the intersection of price and the intersection of pneumonia and coccus combine serum type that vaccine cover, able to bear the intersection of medicine and the intersection of pneumonia and main serum type of streptococcus too. So popularize, inoculate, combine vaccine, help, stop, able to bear the intersection of medicine and spread of bacterial strain by 7 the intersection of price and the intersection of pneumonia and coccus. Children inoculate, combine behind the vaccine, can reduce the elderly and children that does not inoculate, infect with the pneumonia streptococcus through the intersection of colony and immune effect by 7 the intersection of price and the intersection of pneumonia and coccus generally.
In combine vaccine, include 7 the intersection of price and the intersection of pneumonia and coccus in, plan, observe by immune country already researcher, several years after employing 7 price pneumonia coccus to combine vaccine, the case that non- vaccine covers serum type due to pneumonia streptococcus and infects increases to some extent. Someone worries on the immune long-term effect of vaccine. In fact, the increasing degree infected with due to serum type of non- vaccine is smaller than the fall infected with due to vaccine serum type far. On the other hand, because the technological method is ripe gradually, vaccine of combination including more serum type is expected to be listed on near future
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