[Diagnosis and treatment strategies in respiratory infections for respiratory surgeons].
This review discusses the diagnosis and treatment strategies for respiratory infections those are useful for respiratory surgeons. To make a differential diagnosis between respiratory infections caused by several pathogens, it is important to consider the defects of normal defensive barriers, the location of the infection, and the route of infection. To analyze the location of the infection, it is very important to analyze the radiological findings based on normal anatomical structures; such as pulmonary lobulus, acinus, and respiratory bronchioles. Through analyzing chest computed tomography (CT) findings and distribution patterns based on normal anatomical structures, estimation of causative pathogens could be possible. If clinicoradiological analyses could make these differentiations, the appropriate treatment strategy for respiratory infections could be established. For respiratory surgeons, most important pathogens related to respiratory infections (frequently observed as nosocomial pneumonia) are Gram-negative rods as well as anaerobes. Therefore, it is important to select broad-specrum antibiotics ; such as broad-spectrum cephalosporins, carbapenems and new qunolones with or without clindamycin.
Fujita
J
J
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003428:Cross Infection / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy* / Q000276:immunology / Q000382:microbiology; D012137:Respiratory System / Q000276:immunology / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents