Pneumonia


How many days does the pneumonia vaccine take effect?
Pneumonia is a common infectious disease of the respiratory system. For the elderly who are frail, infants and young children who repeatedly suffer from pulmonary infections, and adults with immune deficiencies, it is an option to get vaccinated against pneumonia. Generally, antibodies are produced in the body 2 to 3 weeks after vaccination, which may protect against most types of pneumococcal bacteria. Different pneumonia vaccines vary in the duration the antibodies last in the body, with most lasting about one year. For bivalent and trivalent pneumonia vaccines, the immune protection can last about five years.


Symptoms of pneumonia in infants
Pneumonia is a particularly common infectious disease of the respiratory system. In infants and young children with pneumonia, the main clinical symptoms include fever, crying, vomiting, and so forth. Since infants cannot express their discomfort, it is difficult to make a diagnosis. However, when a patient presents with fever, we first need to consider the possibility of a lung infection. We can determine whether there is an infection of the lungs through listening to the chest, routine blood tests, imaging examinations, etc., and then treat the pneumonia with effective anti-inflammatory therapy.


Symptoms of pneumonia in children
Pneumonia is a particularly common infectious disease of the respiratory system, and infants and young children are especially susceptible to pneumonia because their immune systems are much weaker than those of healthy adults. When infants and young children develop pneumonia, their symptoms differ from adults; they often exhibit only fever, crying, nausea, vomiting, etc. The symptoms of coughing and phlegm are relatively less obvious, making the diagnosis of pneumonia in infants and young children somewhat more difficult. If a patient exhibits fever, auscultation and routine blood tests can be used to preliminarily determine the presence of an infection. If pneumonia is suspected, further comprehensive imaging examinations can be conducted to confirm the diagnosis.


How many doses are there for the pneumonia vaccine?
Currently, there are two types of vaccines commonly used to prevent pneumococcal diseases. One type is the 23-valent polysaccharide vaccine, suitable for high-risk populations over two years old. The other type includes the 7-valent or 13-valent conjugate vaccines, used for vaccinating infants under two years old. The vaccination schedule for the 7-valent or 13-valent vaccines follows a "three plus one" program, which means three primary immunization doses with at least one month between each dose, followed by a booster dose. For the 23-valent vaccine, high-risk individuals over two years old generally require only a single dose; however, immunocompromised patients may need a booster shot, typically recommended five years after the initial vaccination.


What department should I go to for pneumonia?
Pneumonia, as the name suggests, is inflammation of the lungs and belongs to the category of respiratory diseases. Therefore, the primary department to consult is Respiratory Medicine. In places where there is no Respiratory Medicine department, such as community health service centers or township health clinics, patients would have to consult the general internal medicine department instead. Of course, if the symptoms of pneumonia are severe and the condition is critical, and it happens outside of regular outpatient hours, then the patient must be seen by the emergency medicine department. The emergency medicine department will manage and triage pneumonia patients, and then decide their next steps, such as whether to transfer them to the ICU, a regular Respiratory Medicine department, or keep them for observation in the emergency department.


What can you eat with pneumonia?
What can pneumonia patients eat? Pneumonia is usually an acute illness, often accompanied by symptoms such as excessive phlegm, cough, shortness of breath, and chest pain, which demand strict dietary considerations. A good diet ensures that pneumonia patients get enough fluids and calories, which helps in the treatment of pneumonia. Patients can consume foods rich in quality protein, high calories, and vitamins, such as eggs, animal liver, cornmeal, buckwheat flour, and a moderate amount of fruits and vegetables. Foods like black fungus, seaweed, kelp, and mushrooms can also be included more frequently. It is important for patients to drink plenty of water. Pneumonia patients may experience fever and sweat a lot; drinking more water can help replenish fluids in a timely manner, prevent excessive loss of fluids, and more frequent urination helps in faster elimination of metabolic waste from the body, aiding in the recovery from the disease.


Pediatric pneumonia nursing measures
The nursing measures for children's pneumonia include ensuring indoor air circulation, maintaining a temperature between 18 to 24 degrees Celsius, and keeping humidity at 60%. Nutritionally rich diets should be provided. For severely ill children who have difficulty eating, parenteral nutrition can be given. Nursing care should include regular changes in position to reduce lung congestion, frequent back patting to help absorb inflammation and expel phlegm, isolation to prevent cross-infection, and attention to the replenishment and correction of water and electrolytes. Electrolyte imbalance should be addressed, and proper fluid supplementation can also help in opening the airways, but it is important to ensure that the infusion rate is not too fast as it may increase the burden on the heart.


Is pneumonia contagious?
Pneumonia can be divided into many types, including viral pneumonia, bacterial pneumonia, and those caused by special bacteria such as tuberculosis bacillus, and atypical bacteria such as Legionella, Mycoplasma, Chlamydia, etc. Generally, pneumonia does not cause large-scale disseminated transmission, because most people have normal immune systems that can resist these less virulent bacteria; however, in populations with lower immunity, inhaling droplets from patients with bacterial pneumonia can potentially lead to pneumonia. However, pneumonias caused by "SARS", anthrax, pneumonic plague, etc., are highly contagious and can cause large-scale transmission through droplets, and these are strictly controlled infectious diseases in our country. In cases of open tuberculosis, the patient's sputum and cough droplets might contain the pathogen, which could then infect those in close contact. Infectious pneumonia typically has an abrupt onset, with an incubation period of 2-10 days, and fever as the initial symptom, generally above 38℃, possibly accompanied by chills, coughing, scant sputum, occasional bloody sputum, palpitations, shortness of breath, and in some cases, difficulty breathing. It may also be accompanied by muscle soreness, headaches, joint pain, fatigue, and diarrhea.


What are the symptoms of pneumonia?
Pneumonia can have many manifestations, and each person's symptoms can be different. It is highly heterogeneous, varying from mild to severe and can last for short or long durations. The main factors depend on the type of pathogen involved and the state of the body. The most common symptoms of pneumonia are coughing and producing sputum. The cough can be mild or severe and may be accompanied by sputum. The amount of sputum can vary and may be yellow, green, red, or rust-colored. Other possible symptoms include chest pain, difficulty breathing, respiratory distress, and most cases of pneumonia also involve fever. The duration and severity of the fever are somewhat related to the course of the illness. However, a small portion of patients may have atypical symptoms, especially older adults, who may not show direct respiratory symptoms but instead exhibit consciousness disturbances such as coma, confusion, fatigue, and more.


Is the pneumonia vaccine self-funded?
The pneumonia vaccine is primarily aimed at preventing pneumonia caused by Streptococcus pneumoniae infection. Streptococcus pneumoniae is the most significant and common bacterium causing pneumonia worldwide. This bacterium is also the most common cause of community-acquired pneumonia in children and is the main pathogen causing otitis media, meningitis, and bacteremia in children. Currently, there are two types of pneumonia vaccines available in China: the 23-valent polysaccharide vaccine, which is suitable for people over two years old, and the 7-valent vaccine, which is suitable for infants under two years old. According to the regulations on vaccine distribution and vaccination management implemented in our country, vaccines are clearly divided into two categories: the first category includes vaccines provided free by the government to citizens, who are required to be vaccinated according to government regulations; the second category includes other vaccines that are paid for and voluntarily received by citizens. The pneumonia vaccine belongs to the second category, which is a self-funded vaccine.