#IDFridays Week 39: Pneumonia

Pneumonia is the leading infectious killer of children under the age of five

Name
Pneumonia

Transmission

  • Pneumonia is an infection of the lungs
  • It is a common complication of respiratory infections especially the flu
    • Our lungs have small sacs called alveoli which fill up with air when we breathe
    • With pneumonia, the sacs become filled with pus and fluid, making breathing painful and limiting the body’s ability to take in oxygen
  • It can be caused by viruses, bacteria, or fungi and it spreads in several ways:
    • The viruses and bacteria that cause it can infect the lungs when they are inhaled from the environment
    • It can spread from person to person via air-borne droplets from an infected person’s cough or sneeze
    • It may also spread through an infected person’s blood

Geography

Worldwide (most prevalent in South Asia and sub-Saharan Africa)

Incubation Period
1 – 3 days depending on the cause

Signs and Symptoms

Common symptoms:

  • Cough
  • Fever
  • Difficulty breathing
  • Fast breathing
  • Mucus
  • Shaking chills
  • Sharp chest pain
  • Pain when breathing or coughing
  • Headache
  • Loss of appetite
  • Fatigue
  • Confusion (especially in older people)

In infants, symptoms may include:

  • Not eating or drinking
  • Unconsciousness
  • Hypothermia
  • Convulsions
  • Vomiting

The symptoms of viral and bacterial pneumonia are similar, but can vary slightly:

  • Bacterial:
    • High fever
    • Profuse sweating
    • Rapidly increased breathing
    • Rapid pulse
    • Confusion and delirium
    • Blue lips or nailbeds
  • Viral:
    • Wheezing
    • Dry cough
    • Headache
    • Muscle pain
    • Weakness
    • Blue lips

Diagnosis

  • Doctors cannot always identify the cause of pneumonia
  • Common diagnostic methods include chest examination, blood tests, testing a sample of lung fluid (sputum)

Treatment

  • Treatment depends on the type and severity of the infection
  • If the cause is bacteria, it can be treated with antibiotics
  • Cough medicine, pain relievers, and fever reducers are also used to treat symptoms

Prognosis

  • Recovery time can vary greatly based on age and health condition, but most people fully recover within 3 months
    • In the elderly or people with other lung problems, recovery may take more than 12 weeks
  • If the infection leads to hospitalization, mortality may be as high as 10%, and if intensive care is required it may reach 30–50% (pneumonia is the most common hospital-acquired infection that leads to death)
  • Even with treatment some people may experience complications including respiratory failure, blood poisoning, collapsed lung, and kidney complications

Prevention: What Can You Do?

  • Wash your hands regularly
  • Clean surfaces that many people touch often
  • Be careful to cough or sneeze into a tissue or into your sleeve to prevent the bacteria/virus from spreading
  • Avoid smoking or inhaling smoke
  • Get vaccinated for Hib (Haemophilus influenzae type b), pneumococcus, measles and whooping cough (pertussis)

Pneumonia In the News

Sources:
http://www.who.int/mediacentre/factsheets/fs331/en/
http://www.cdc.gov/pneumonia/index.html

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