Azithromycin sequential treatment of adults with community-acquired pneumonia clinical observation of 12 cases.docVIP

 PAGE \* MERGEFORMAT 6 Azithromycin sequential treatment of adults with community-acquired pneumonia clinical observation of 12 cases Adult community-acquired pneumonia defined as non-hospitalized patients with acute lung parenchyma infection, including infection with a clear incubation period of pathogens in the hospital an average incubation period after the onset of pneumonia [1]. Common pathogens are: Streptococcus pneumoniae, Legionella, Mycoplasma and so on. our department in July 2009 to 12 months in total out-patient treatment in 12 cases. these 12 patients without a clear etiological diagnosis of cases, are used for treatment of azithromycin sequential therapy, are as follows. 1 Materials and Methods 1.1 General information of all cases are in line with the Chinese Medical Association respiratory branch established in 2002 lt;lt;community-acquired pneumonia diagnosis and treatment guidelines (“Draftgt; of the diagnostic criteria [1], of which 12 cases were 7 males and 5 females, age 17 to 48 years, mean 31 + -3.0 years old, the main symptoms of cough in 8 patients, 6 patients with fever. these 12 patients were mild patients with the following criteria: (1 aged lt;65 years, (2 no underlying diseases such as COPD, severe liver and kidney disease, heart failure, diabetes, cerebrovascular accidents, and malnutrition, (3 conscious, respiratory rate lt;30 times / min, systolic blood pressuregt; = 90mmHg, T lt;40 , (4 chest X-ray shows a single lobe or lung segment involved. 1.2 The use of drugs and azithromycin (Paige (produced by the Xi’an Lijun Pharmaceutical Co., Ltd. 0.5g static point, 1 / d, continuous intravenous 3 days, subject to the following conditions: (1 cough and expectoration improved (2 in the two 8h discrete times within the body temperature to normal, (3 white blood cell count than before treatment, (4 gastrointestinal sufficient to absorb oral medication. oral drug treatment 7 to 20 days. to oral azithromycin dispersibl