Emergency treatment of severe pneumonia in a general antibiotic treatment 2: sensitive to antibiotics, in sufficient quantities, the joint adequate treatment and intravenous route was used. At present point of view, but without crossing the line in place of antibiotics. Third-generation cephalosporins, such as Ceftriaxone, security and governance become the cap of the drug of first choice. For children, use of antibiotics Note 4 Do not: Do not blindly emphasized that with the high-grade antibiotics; Do not over-emphasize the use of b-lactam antibiotics, because mycoplasma, chlamydia, legionella pneumonia infection accounted for 25-40%; Do not aminoglycoside antibiotics as the preferred; Do not use a second day of antibiotics intravenously.
Sequential therapy: the principle is the same used antibiotics or antimicrobial spectrum similar to that of the different types of drug treatment in two stages, pre-administered intravenously 2-3 days after oral administration phase to 7-10 days.
Intravenous administration to change oral criteria: a stable condition after intravenous administration: a gradual improvement in cough or respiratory distress; body temperature returned to normal at least 24 hours, white blood cell count and classification back to normal. ; Oral can tolerate, no vomiting, diarrhea; non-volatile issue of complications such as heart failure and shock, no empyema complications.
Sequential therapy experience in drug choice: the first with the second and third generation cephalosporin administered intravenously follow-up should also choose the same class of drugs, such as the second and third generation oral; if the choice of b-lactam, then the follow-up in the same category of drugs ; if the choice of erythromycin, erythromycin, or follow-up for a new generation of macrolides.
Of non-sequential therapy indications: elderly patients, there are complications, can not accept sequential therapy, intravenous administration of a longer course of treatment required.