What department should I go to for pneumonia?

Written by Wang Xiang Yu
Pulmonology
Updated on September 25, 2024
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Pneumonia, as the name suggests, is inflammation of the lungs and belongs to the category of respiratory diseases. Therefore, the primary department to consult is Respiratory Medicine. In places where there is no Respiratory Medicine department, such as community health service centers or township health clinics, patients would have to consult the general internal medicine department instead. Of course, if the symptoms of pneumonia are severe and the condition is critical, and it happens outside of regular outpatient hours, then the patient must be seen by the emergency medicine department. The emergency medicine department will manage and triage pneumonia patients, and then decide their next steps, such as whether to transfer them to the ICU, a regular Respiratory Medicine department, or keep them for observation in the emergency department.

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Written by Li Jian Wu
Pulmonology
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How is pneumonia treated?

Pneumonia is a respiratory tract infectious disease that requires the timely selection of antimicrobial drugs and anti-inflammatory treatment, as well as the choice of symptomatic treatment medications. Symptoms of pneumonia include fever, headache, nausea, sore throat, cough, expectoration, chest pain, and difficulty breathing. The pathogens causing the infection vary, and so do the antibiotics used to treat them. For common bacterial infections, penicillin antibiotics or cephalosporin antimicrobial drugs can be selected. During an acute fever phase, antipyretic analgesics may be chosen or physical cooling methods may be employed.

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Written by Hu Xue Jun
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Is pneumonia contagious?

Pneumonia can be divided into many types, including viral pneumonia, bacterial pneumonia, and those caused by special bacteria such as tuberculosis bacillus, and atypical bacteria such as Legionella, Mycoplasma, Chlamydia, etc. Generally, pneumonia does not cause large-scale disseminated transmission, because most people have normal immune systems that can resist these less virulent bacteria; however, in populations with lower immunity, inhaling droplets from patients with bacterial pneumonia can potentially lead to pneumonia. However, pneumonias caused by "SARS", anthrax, pneumonic plague, etc., are highly contagious and can cause large-scale transmission through droplets, and these are strictly controlled infectious diseases in our country. In cases of open tuberculosis, the patient's sputum and cough droplets might contain the pathogen, which could then infect those in close contact. Infectious pneumonia typically has an abrupt onset, with an incubation period of 2-10 days, and fever as the initial symptom, generally above 38℃, possibly accompanied by chills, coughing, scant sputum, occasional bloody sputum, palpitations, shortness of breath, and in some cases, difficulty breathing. It may also be accompanied by muscle soreness, headaches, joint pain, fatigue, and diarrhea.

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Written by Li Jiao Yan
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How many shots are in the pneumonia vaccine?

Currently, there are two general types of vaccines for preventing pneumococcal pneumonia. One type is the 23-valent vaccine, suitable for high-risk populations over two years old. The other type includes the 7-valent or 13-valent vaccines, which are for preventing pneumococcal infections in infants under two years old. Infants under two usually follow a "three plus one" vaccination regimen, which involves three primary immunization doses with at least one month between each dose, followed by a booster shot. Additionally, adults over two years old or other high-risk groups are advised to take the 23-valent vaccine, which requires only a single dose. However, those who are frail or have poor immune responses may need a second booster dose five years after the initial vaccination.

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How to take care of children with pneumonia

Children with pneumonia need comprehensive and general treatment, and care should be mindful of the following: First, indoor air should be circulated, with a temperature of 18~20°C and humidity at about 60%. Second, provide a nutrition-rich diet. For severe cases where the child has difficulty eating, parenteral nutrition can be given. Third, frequently change the child's position to reduce pulmonary congestion and facilitate the absorption of inflammation. Fourth, pay attention to isolation to prevent cross-infection. Additionally, it is important to monitor and supplement electrolytes and fluids, correct acidosis and electrolyte imbalances. Appropriately supplementing fluids helps moisten the airways, but care should be taken with the speed of fluid administration, as too fast a rate can increase the burden on the heart.

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How to diagnose pneumonia

Pneumonia is a common infectious disease of the respiratory system. Its main diagnostic methods include routine blood tests, C-reactive protein, and pulmonary imaging, among which pulmonary imaging is the gold standard for diagnosing pneumonia. Diagnosis can also be initially inferred from the patient's clinical presentation and medical history to determine the likelihood of a pneumonia infection. Once pneumonia is confirmed, there is no need for excessive worry. Active medication to control the infection can cure pneumonia. Therefore, anti-inflammatory treatment should continue once pneumonia is diagnosed.