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Pneumonia, Bacterial

Jocelyn C Young, MSc, DO and Rehan Azeem, MD Reviewed 06/2022
 


BASICS

Bacterial pneumonia is an infection of the pulmonary parenchyma by a bacterial organism. 

DESCRIPTION

Bacterial pneumonia can be classified as the following: 
  • Community acquired pneumonia (CAP) is...

DIAGNOSIS

HISTORY

  • Fever, chills, rigors, malaise, fatigue, dyspnea, cough (with/without sputum), pleuritic chest pain, myalgias, GI symptoms

  • Pediatric patients: lethargy, hypotonia, poor feeding, dry mu...

TREATMENT

GENERAL MEASURES

Use a risk calculator to determine need for hospitalization and efficacy of treatment: 

ONGOING CARE

PATIENT EDUCATION

Smoking cessation, vaccinations 

COMPLICATIONS

Necrotizing pneumonia, respiratory failure, empyema, abscesses, cavitation, bronchopleural fistula, sepsis 

REFERENCES

1
Metlay JP, Waterer GW, Long AC, et al. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Inf...

CODES

ICD10

  • J15.9 Unspecified bacterial pneumonia

  • J15.4 Pneumonia due to other streptococci

  • J14 Pneumonia due to Hemophilus influenzae

  • J15.20 Pneumonia due to staphylococcus, unspecified

  • J15.3 Pneumonia du...

CLINICAL PEARLS

  • Bacterial pneumonia can usually be treated empirically based on its classification as outpatient CAP, inpatient nonsevere CAP, and inpatient severe CAP, or nosocomial pneumonia.

  • A sever...

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