Chapter 128 Pneumococcal Infections (Part 4) pot
Chapter 128. Pneumococcal Infections (Part 4) pot
... 12,000/µL in the great
majority of patients with pneumococcal pneumonia. A low WBC count
(<6000/µL) is found in 5–10% of persons hospitalized for pneumococcal
pneumonia and is strongly associated ... increased
cough, sputum production, and an abnormal pulmonary shadow on chest x-ray.
Table 128- 3 Causes of a Pneumonia Syndrome Leading
to
Hospitalization of Adults in Houston,...
Chapter 128. Pneumococcal Infections (Part 3) potx
... pneumoniae is the most common or second most
Chapter 128. Pneumococcal Infections
(Part 3)
Specific Infections Caused by S. Pneumoniae
S. pneumoniae causes infections of the middle ear, sinuses, ... individual case.
Infections listed after meningitis in Table 128- 2 are uncommon or rare.
Table 128- 2 Most Common Infections Caused by
Streptococcus
Pneumoniae in Adul...
Chapter 128. Pneumococcal Infections (Part 5) pot
...
yield S. pneumoniae in ~25% of patients hospitalized for pneumococcal
pneumonia.
Figure 128- 2
Gram-stained sputum from a patient with pneumococcal pneumonia
shows polymorphonuclear cells ... the most common complication of pneumococcal pneumonia,
occurring in ~2% of cases. Some fluid appears in the pleural space in a substantial
The appearance of pneumococcal infection a...
Chapter 128. Pneumococcal Infections (Part 8) pot
... higher in others; high-dose
amoxicillin remains the best option worldwide.
Chapter 128. Pneumococcal Infections
(Part 8)
Acute Sinusitis
Just as the pathogenesis and microbial etiology ... sputum sample or as a replacement for broader spectrum empirical
therapy after a diagnosis of pneumococcal pneumonia is proven by culture. When
a valid sputum specimen cannot be obtain...
Chapter 128. Pneumococcal Infections (Part 9) potx
... clear
Chapter 128. Pneumococcal Infections
(Part 9)
Inpatient Therapy
Pneumococcal pneumonia is readily treatable with β-lactam antibiotics. The
conventional dosages shown in Table 128- 5 ...
pneumococcal pneumonia, even in the presence of bacteremia. Cases with a
second focus of infection (e.g., empyema or septic arthritis) require longer
therapy.
Meningitis
(Table 1...
Chapter 128. Pneumococcal Infections (Part 1) H pot
... polysaccharides.
Epidemiology
Chapter 128. Pneumococcal Infections
(Part 1)
Harrison's Internal Medicine > Chapter 128. Pneumococcal Infections
Pneumococcal Infections: Introduction
Streptococcus ... Surface-exposed choline residues serve as a site of
attachment for potential virulence factors, such as pneumococcal surface protein A
(PspA) and pneumococc...
Chapter 128. Pneumococcal Infections (Part 2) pptx
...
circulation; in the absence of antibody, however, only the slow passage of blood
Chapter 128. Pneumococcal Infections
(Part 2)
Nonimmunologic Mechanisms
Nonimmunologic mechanisms that protect ... without spleens tend
to develop overwhelming pneumococcal disease that rapidly progresses to death.
Table 128-
1 Conditions that Commonly Predispose to Pneumococcal
Infection...
Chapter 128. Pneumococcal Infections (Part 6) pdf
... resistance is
Chapter 128. Pneumococcal Infections
(Part 6)
Pneumococcal Infections: Treatment
Antibiotic Susceptibility
β-Lactam antibiotics, the cornerstone of therapy for serious pneumococcal ... >90% of pneumococcal isolates in the United
States are susceptible to clindamycin. Rates of doxycycline resistance are similar
to those observed for macrolides. One-thir...
Chapter 128. Pneumococcal Infections (Part 7) doc
... complicated infections. A recent study reported identical rates of clinical and
bacteriologic cure with a 10-day course of amoxicillin and a single dose of
azithromycin (30 mg/kg).
Chapter 128. Pneumococcal ... dose of
azithromycin (30 mg/kg).
Chapter 128. Pneumococcal Infections
(Part 7)
Antibiotic Regimens
Otitis Media
(Table 128- 4) Current treatment recomme...
Chapter 128. Pneumococcal Infections (Part 10) ppsx
... Chapter 128. Pneumococcal Infections
(Part 10)
Prevention
Capsular Polysaccharide Vaccine
The pneumococcal capsular polysaccharide vaccine administered ... effects of
caused a dramatic decline in the incidence of invasive pneumococcal disease
among infants and children (Fig. 128- 4). Colonization rates have also greatly
decreased. In an Alaskan ... with increased risk...
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