Antibiotic Management in Bacterial Pneumonia: A Narrative Literature Review

Yusri Herdika, Rohani Lasmaria
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Abstract

Pneumonia is an acute inflammation of the lung parenchyma caused by various types of microorganisms, such as bacteria, viruses, fungi, and parasites. The use of antibiotics is often faced with many types and inappropriate doses, and using antibiotics for too long can increase the risk of bacteria multidrug resistance (MDR). Therefore, the choice and dosage of antibiotics must be appropriate to reduce the rate of bacterial resistance. The increasing incidence of bacterial resistance is an indicator of failure in treating pneumonia because, apart from clinical improvement, optimal eradication of bacteria should also be the goal in every antibiotic administration. The aim of this literature review is to explain the basis for administering and selecting empiric antibiotics for pneumonia infections as well as appropriate antibiotic management and adequate especially in bacterial pneumonia, to provide a better prognosis.
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细菌性肺炎的抗生素管理:叙述性文献综述
肺炎是由细菌、病毒、真菌和寄生虫等各类微生物引起的肺实质急性炎症。抗生素的使用往往面临种类多、剂量不合适等问题,而且抗生素使用时间过长会增加细菌多药耐药性(MDR)的风险。因此,抗生素的选择和剂量必须适当,以降低细菌耐药率。细菌耐药性发生率的增加是治疗肺炎失败的一个指标,因为除了改善临床症状外,最佳根除细菌也应是每次使用抗生素的目标。本文献综述旨在解释肺炎感染中经验性抗生素的使用和选择依据,以及适当的抗生素管理,尤其是在细菌性肺炎中的适当管理,以提供更好的预后。
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