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Zusammenfassung

Die Pneumonie ist definiert als eine Entzündung des Lungenparenchyms mit Beteiligung der Alveolen und des Interstitiums. Hierbei können allergische, chemische, physikalische und infektiöse Faktoren eine ursächliche Rolle spielen. Im folgenden wird nur auf die infektiöse Pneumonie eingegangen. Die klassische Einteilung der Pneumonien in lobäre, bronchopneumonische und interstitielle Formen ist weitgehend verlassen, stattdessen wird die Angabe der mikrobiellen Ätiologie, der klinischen Symptome (akut, chronisch) sowie der ggf. vorhandenen Grunderkrankung, des Alters und der Röntgenmorphologie bevorzugt. Bei den infektiösen Pneumonien ist die Unterteilung in bakterielle und nichtbakterielle Formen (Viren, Parasiten, Pilze, Protozoen) von Bedeutung.

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Literatur

  1. Allewelt M, Steinhoff D, Rahlwes M, Höffken G, Schaberg T, Lode H (1997) Wandel im Erregerspektrum ambulant erworbener Pneumonien (1982–1992). Dtsch med Wschr 122:1027-1032

    Google Scholar 

  2. ATS (1993) Guidelines for the initial management of adults with community-acquired pneumonia: Diagnosis, assessment of severity, and initial antimicrobial therapy. Am Rev Respir Dis 148: 1418–1426

    Article  Google Scholar 

  3. ATS (1996) Hospital-acquired pneumonia in adults: Diagnosis, assessment of severity, initial antimicrobial therapy, and preventive strategies. Am J Resp Crit Care 153: 1711–1725

    Article  Google Scholar 

  4. Bartlett JG, Gorbach SL, Finegold SM (1974) The bacteriology of aspiration pneumonia. Am J Med 56: 202–207

    Article  PubMed  CAS  Google Scholar 

  5. Blasi F, Cosentini R, Leynani D, Denti F, Allegra L (1993) Incidence of community-acquired pneumonia caused by Chlamydia pneumoniae in Italian patients. Eur J Clin Microbiol Infect Dis 12: 696–699

    Article  PubMed  CAS  Google Scholar 

  6. Bodey GP, Fainstein V (1985) Systemic candidiasis. In: Bodey GP, Fainstein V (eds) Candidiasis. Raven, New York, pp 135–168

    Google Scholar 

  7. Cross AC, Roup B (1981) Role of respiratory assistance devices inendemic noscomial pneumonia. Am J Med 7o: 681–685

    Article  Google Scholar 

  8. Finegold SM (1989) Aspiration pneumonia, lung abscess and empyema. In: Pennington JE (ed), Respiratory infections: Diagnosis and management. 2nd ed. Raven, New York, pp 264–275.

    Google Scholar 

  9. Fang GDM, Fine J, Orloff D, Arisumi VL et al. (1990) New and emerging etiologies for community-acquired pneumonia with implications for therapy. Medicine (Baltimore) 69: 307–316

    Google Scholar 

  10. Iravani J, Melville GN (1975) Wirkung von Pharmaka and Milieuänderungen auf die Flimmertätigkeit der Atemwege. Respiration 32: 157–164

    Article  PubMed  CAS  Google Scholar 

  11. Johanson EG, Pierce AG, Sanford JP (1972) Nosocomial respiratory infections with gram-negative bacilli. The significance of the respiratory tract. Ann Intern Med 77: 701–706

    Google Scholar 

  12. Kemmerich BM, Rahlwes H, Vogel-Hartmann K, Bartman G, Höffken E, Berntsson G, Ruckdeschel J, Wagener H, Lode H (1989) Ambulant erworbene Pneumonien. Dtsch Med Wochenschr 114: 1471–1477

    Article  PubMed  CAS  Google Scholar 

  13. Klastersky J (1984) Therapy of Gram-negative bacillary pneumonias. In: Lode H, Kemmerich B, Klastersky J (eds) Current aspects of bacterial and non-bacterial pneumonias. Thieme, Stuttgart, pp 150–164

    Google Scholar 

  14. Klastersky J, Glauser MP, Schimpff S, Zinner SH, Gaya H, EORTC-Project Group (1986) Prospective randomized comparison of three antibiotic regimes for empirical therapy of suspected bacteremic infections in febrile granulocytopenic patients. Antimicrob Agents Chemother 29: 263–268

    Article  Google Scholar 

  15. Kovacs JA, Masur H (1985) Opportunistic infections. In: Gallin JI, Fauci AS (eds) Advances in host defense mechanisms, Vol 5–Acquired immunodeficiency syndrome (AIDS). Raven, New York, pp 35–58

    Google Scholar 

  16. Lerner AM, Federman M (1971) Gram-negative bacillary pneumonia. J Infect Dis 124: 425–426

    Google Scholar 

  17. Lode H, Höffken G, Kemmerich B (1982) Diagnostic and therapeutic approach to nonbacterial pneumonia in immunosuppressed patients. In: Klastersky J (ed) Infections in cancer patients. Raven, New York, pp 171–184

    Google Scholar 

  18. Lode H (1986) Initial therapy in pneumonia: Clinical, radiological and laboratory data important for the choice. Am J Med 8o [Suppl 5c]: 70–74

    Google Scholar 

  19. Lode H, Schaberg T, Raffenberg M (1997) Therapie der nosokomialen Pneumonie. Dtsch med Wschr 122:93–96

    Google Scholar 

  20. MacFarlane JT, Finch RG, Ward MJ, Macrae AD (1982) Hospital study of adult community-acquired pneumonia. Lancet II:255–258

    Google Scholar 

  21. Moore R, Smith CR, Lietman PS (1984) Association of aminoglycoside plasma levels with therapeutic outcome in gram-negative pneumonia. Am J Med 77: 657–662

    Article  PubMed  CAS  Google Scholar 

  22. Pennington JE (1989) Opportunistic fungal pneumonias: Aspergillus, Mucor, Candida, Torulopsis. In: Pennington JE (ed) Respiratory infections: Diagnosis and management. 2nd ed. Raven, New York, pp 443–456

    Google Scholar 

  23. Perlino CA (1980) Metronidazole versus Clindamycin treat-ment of anaerobic lung abscesses and necrotizing pneumonia: failure of Metronidazole therapy. Curr Chemother Infect Dis Washington Vol II: 877–879

    Google Scholar 

  24. Report of National Heart, Lung and Blood Institute Workshop (1984) Pulmonary complications of the acquired immunodeficiency syndrome. N Engl J Med 310: 1682-1688

    Google Scholar 

  25. Sanders GCV, Hanna BJ, Lewis AC (1979) Metronidazole in the treatment of anaerobic infections. Am Rev Resp Dis 120:337-343

    PubMed  CAS  Google Scholar 

  26. Schaberg T, Lode H (1991) Klinik und Diagnostik der ambulant erworbenen Pneumonien. Dtsch Med Wochenschr 116: 1877–1880

    Article  PubMed  CAS  Google Scholar 

  27. Schaberg T, Lode H (1991) Antibiotische Therapie der ambulant erworbenen Pneumonien. Dtsch Med Wochenschr 116: 1917–1920

    Article  PubMed  CAS  Google Scholar 

  28. Steinhoff D, Lode H et al. (1996) Chlamydia pneumoniae as a cause of community-acquired pneumonia in hospitalized patients in Berlin. Clinical Infectious Dis 22: 958964

    Google Scholar 

  29. Stover DE, White DA, Romano PA, Gelene RA, Robeson WA (1985) Spectrum of pulmonary diseases associated with the acquired immune deficiency syndrome. Am J Med 78 429–437

    Article  PubMed  CAS  Google Scholar 

  30. Yu VL, Kroboh T, Shounard J, Brown A, McDearman S, Magnussen M (1982) Legionnaires’ disease: New clinical perspective from a prospective pneumonia study. Am J Med 73: 357–361

    Article  PubMed  CAS  Google Scholar 

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© 1999 Springer-Verlag Berlin Heidelberg

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Lode, H. (1999). Pneumonien. In: Paumgartner, G., et al. Therapie innerer Krankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10477-4_20

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  • DOI: https://doi.org/10.1007/978-3-662-10477-4_20

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