Community-acquired pneumonia: Difference between revisions

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= Community-Acquired Pneumonia (CAP) =
Community-acquired pneumonia


[[File:Chest radiograph in influensa and H influenzae, posteroanterior, annotated.jpg|thumb|Radiograph showing Pneumonia]]
[[File:Symptoms of pneumonia.svg|thumb|Symptoms of pneumonia]]


Community-Acquired Pneumonia (CAP) refers to pneumonia that is acquired outside of hospital or long-term care facility settings. It is a common respiratory infection and one of the leading causes of illness and mortality worldwide.
'''Community-acquired pneumonia''' (CAP) is a type of [[pneumonia]] that is acquired outside of a hospital or healthcare setting. It is a common illness that affects the lungs and can be caused by a variety of pathogens, including bacteria, viruses, and fungi.


== Definition and Overview ==
==Etiology==
CAP occurs when an individual develops pneumonia in the community, as opposed to acquiring it in a medical facility. Pneumonia is an infection that inflames the air sacs in one or both lungs which may fill with fluid.
The most common cause of community-acquired pneumonia is the bacterium ''[[Streptococcus pneumoniae]]''. Other bacterial causes include ''[[Haemophilus influenzae]]'', ''[[Mycoplasma pneumoniae]]'', and ''[[Chlamydophila pneumoniae]]''. Viral causes include [[influenza virus]], [[respiratory syncytial virus]] (RSV), and [[coronavirus]]. Fungal causes are less common but can include ''[[Histoplasma capsulatum]]'' and ''[[Coccidioides immitis]]''.


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==Pathophysiology==
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Community-acquired pneumonia occurs when pathogens enter the lower respiratory tract and overcome the host's immune defenses. This can lead to inflammation and consolidation of the lung tissue, resulting in impaired gas exchange and respiratory symptoms.
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== Causes and Risk Factors ==
==Clinical Presentation==
CAP is caused by a wide range of infectious agents, including bacteria, viruses, and fungi. Common causes include:
Patients with community-acquired pneumonia typically present with symptoms such as cough, fever, chills, dyspnea (shortness of breath), and pleuritic chest pain. Physical examination may reveal signs such as crackles or decreased breath sounds over the affected lung area.
* Streptococcus pneumoniae (most common bacterial cause)
* Respiratory viruses like influenza
* Atypical bacteria such as Mycoplasma pneumoniae


=== Risk Factors ===
==Diagnosis==
* Age (elderly or very young)
Diagnosis of community-acquired pneumonia is based on clinical presentation, physical examination, and imaging studies such as a chest X-ray. Laboratory tests, including sputum culture and blood tests, may be used to identify the causative organism.
* Smoking and alcohol use
* Chronic lung diseases like COPD
* Weakened immune system


== Symptoms ==
==Treatment==
Common symptoms of CAP include:
The treatment of community-acquired pneumonia depends on the severity of the illness and the suspected or confirmed pathogen. Antibiotics are the mainstay of treatment for bacterial pneumonia, with common choices including [[amoxicillin]], [[azithromycin]], and [[doxycycline]]. Antiviral medications may be used for viral pneumonia, and supportive care is important for all patients.
* Cough (often producing phlegm)
* Fever and chills
* Shortness of breath
* Chest pain during breathing or coughing
* Fatigue


== Diagnosis ==
==Prognosis==
Diagnosis of CAP typically involves:
The prognosis for community-acquired pneumonia varies depending on the patient's age, comorbidities, and the severity of the illness. Most patients recover with appropriate treatment, but complications such as [[pleural effusion]], [[lung abscess]], and [[sepsis]] can occur.
* Clinical examination
* Chest X-rays
* Blood tests
* Sputum culture
* Pulse oximetry to measure oxygen levels in the blood


== Treatment and Management ==
==Prevention==
Treatment depends on the severity and the cause of the pneumonia:
Preventive measures for community-acquired pneumonia include vaccination against ''Streptococcus pneumoniae'' and influenza, smoking cessation, and good hand hygiene.
* Antibiotics for bacterial pneumonia
* Antiviral medications for viral pneumonia
* Supportive care such as rest, fluids, and fever control
* Hospitalization in severe cases


== Prevention ==
==Also see==
Preventative measures include:
* [[Hospital-acquired pneumonia]]
* Vaccination against pneumococcal pneumonia and influenza
* [[Aspiration pneumonia]]
* Good hygiene practices
* [[Pneumonia]]
* Smoking cessation
* [[Respiratory tract infection]]
* Strengthening the immune system through a healthy lifestyle


== Epidemiology ==
{{Pneumonia}}
CAP is a significant public health concern globally, affecting millions of people annually. It has a higher incidence in the elderly and during winter months.
{{Infectious diseases}}


== References ==
[[Category:Respiratory diseases]]
<references>
[[Category:Infectious diseases]]
* [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC "Community-Acquired Pneumonia: An Overview"] - National Center for Biotechnology Information
* [https://www.cdc.gov/pneumonia/index.html "Pneumonia"] - Centers for Disease Control and Prevention
</references>
 
[[Category:Respiratory Diseases]]
[[Category:Infectious Diseases]]
[[Category:Public Health]]
{{stub}}

Revision as of 02:59, 11 December 2024

Community-acquired pneumonia

Symptoms of pneumonia

Community-acquired pneumonia (CAP) is a type of pneumonia that is acquired outside of a hospital or healthcare setting. It is a common illness that affects the lungs and can be caused by a variety of pathogens, including bacteria, viruses, and fungi.

Etiology

The most common cause of community-acquired pneumonia is the bacterium Streptococcus pneumoniae. Other bacterial causes include Haemophilus influenzae, Mycoplasma pneumoniae, and Chlamydophila pneumoniae. Viral causes include influenza virus, respiratory syncytial virus (RSV), and coronavirus. Fungal causes are less common but can include Histoplasma capsulatum and Coccidioides immitis.

Pathophysiology

Community-acquired pneumonia occurs when pathogens enter the lower respiratory tract and overcome the host's immune defenses. This can lead to inflammation and consolidation of the lung tissue, resulting in impaired gas exchange and respiratory symptoms.

Clinical Presentation

Patients with community-acquired pneumonia typically present with symptoms such as cough, fever, chills, dyspnea (shortness of breath), and pleuritic chest pain. Physical examination may reveal signs such as crackles or decreased breath sounds over the affected lung area.

Diagnosis

Diagnosis of community-acquired pneumonia is based on clinical presentation, physical examination, and imaging studies such as a chest X-ray. Laboratory tests, including sputum culture and blood tests, may be used to identify the causative organism.

Treatment

The treatment of community-acquired pneumonia depends on the severity of the illness and the suspected or confirmed pathogen. Antibiotics are the mainstay of treatment for bacterial pneumonia, with common choices including amoxicillin, azithromycin, and doxycycline. Antiviral medications may be used for viral pneumonia, and supportive care is important for all patients.

Prognosis

The prognosis for community-acquired pneumonia varies depending on the patient's age, comorbidities, and the severity of the illness. Most patients recover with appropriate treatment, but complications such as pleural effusion, lung abscess, and sepsis can occur.

Prevention

Preventive measures for community-acquired pneumonia include vaccination against Streptococcus pneumoniae and influenza, smoking cessation, and good hand hygiene.

Also see