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- Pneumococcal Bacteremia with Pneumonia (13)

Pneumococcal Bacteremia with Pneumonia (13)Both pneumococcal and influenza vaccines should be routinely given to this group of patients to decrease the morbidity and mortality from respiratory disease. Unfortunately, the patient with AIDS does not respond well to vaccination; therefore, early detection and aggressive treatment of infection are the most reasonable avenues to pursue. One possible mode of therapy to consider in adult AIDS patients with recurrent bacterial infections is the use of monthly intravenous 7-globulin infusions. It appears to markedly decrease the incidence of bacterial infections in pediatric patients with AIDS and ARC.
We conclude that the very high mortality from bacteremic pneumococcal pneumonia has not changed over 25 years despite antibiotic therapy and advances in medicine. With the advent of the AIDS crisis, a large new group of HIV-infected immunocompromised patients has been added to the list of those predisposed to the development of pneumococcal pneumonia. When these HIV-infected individuals develop bacteremic pneumococcal pneumonia, they can be further subdivided into patients with AIDS and patients without AIDS. The former group has a truly formidable mortality rate despite aggressive support and appropriate antibiotic therapy. The latter group, on the contrary, will probably survive the acute infectious episode.

July 26, 2013 Pulmonary function
Tags: aids patients antibiotic therapy hiv infection penicillin pneumonia septic shock