Lung abscess primary prevention: Difference between revisions
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==Primary prevention== | ==Primary prevention== | ||
Effective measures for the primary prevention of lung abscess include: | Effective measures for the primary prevention of lung abscess include: | ||
*Prevention of aspiration in high-risk individuals by providing proper attention towards airway protection, minimal sedation, and proper positioning of patients with elevation of the head in hospitalized patients. | *Prevention of aspiration in high-risk individuals by providing proper attention towards airway protection, minimal sedation, and proper positioning of patients with elevation of the head in hospitalized patients.<ref name="pmid4014575">{{cite journal |vauthors=Pohlson EC, McNamara JJ, Char C, Kurata L |title=Lung abscess: a changing pattern of the disease |journal=Am. J. Surg. |volume=150 |issue=1 |pages=97–101 |year=1985 |pmid=4014575 |doi= |url=}}</ref> | ||
*Prophylactic antibiotics against certain pathogens in at-risk patients e.g.recipients of bone marrow or solid organ transplants or patients whose immune systems are significantly compromised by HIV infection must be given. | *Prophylactic antibiotics against certain pathogens in at-risk patients e.g.recipients of bone marrow or solid organ transplants or patients whose immune systems are significantly compromised by HIV infection must be given. | ||
*Improving oral hygiene and proper dental care in elderly and debilitated patients also helps in decreasing the risk of anaerobic lung abscess. | *Improving oral hygiene and proper dental care in elderly and debilitated patients also helps in decreasing the risk of anaerobic lung abscess.<ref name="pmid4014575">{{cite journal |vauthors=Pohlson EC, McNamara JJ, Char C, Kurata L |title=Lung abscess: a changing pattern of the disease |journal=Am. J. Surg. |volume=150 |issue=1 |pages=97–101 |year=1985 |pmid=4014575 |doi= |url=}}</ref> | ||
* Patients with esophageal disorders, such as scleroderma or a diverticulum, as well as those who have undergone esophageal or gastric surgery predisposing to regurgitation, should be instructed in how to minimize the risk of gastric content aspiration by proper sleep position and by avoiding overfilling the stomach before sleeping. | * Patients with esophageal disorders, such as scleroderma or a diverticulum, as well as those who have undergone esophageal or gastric surgery predisposing to regurgitation, should be instructed in how to minimize the risk of gastric content aspiration by proper sleep position and by avoiding overfilling the stomach before sleeping. | ||
== Reference == | == Reference == | ||
Revision as of 15:56, 7 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Primary prevention
Effective measures for the primary prevention of lung abscess include:
- Prevention of aspiration in high-risk individuals by providing proper attention towards airway protection, minimal sedation, and proper positioning of patients with elevation of the head in hospitalized patients.[1]
- Prophylactic antibiotics against certain pathogens in at-risk patients e.g.recipients of bone marrow or solid organ transplants or patients whose immune systems are significantly compromised by HIV infection must be given.
- Improving oral hygiene and proper dental care in elderly and debilitated patients also helps in decreasing the risk of anaerobic lung abscess.[1]
- Patients with esophageal disorders, such as scleroderma or a diverticulum, as well as those who have undergone esophageal or gastric surgery predisposing to regurgitation, should be instructed in how to minimize the risk of gastric content aspiration by proper sleep position and by avoiding overfilling the stomach before sleeping.