Mycoplasma pneumonia medical therapy: Difference between revisions

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{{Mycoplasma pneumonia}}
{{Mycoplasma pneumonia}}
{{CMG}}
{{CMG}}


==Overview==
==Overview==
Antimicrobial therapy is the mainstay of therapy for atypical pneumonia caused by ''Mycoplasma''. Pharmacologic therapies for ''Mycoplasma'' pneumonia include either a [[macrolide]] (e.g. [[azithromycin]]) for 2-5 days, [[doxycycline]] for 14 days, or a  [[fluoroquinolone]] for 14 days.  Supportive therapy includes rest, adequate fluid intake, and administration of either non-steroidal anti-inflammatory drugs ([[NSAIDS]]) or [[acetaminophen]] if needed.  [[Aspirin]] should be avoided among children.


==Medical Therapy==
==Medical Therapy==
 
===Supportive Care===
Second generation [[macrolide]] antibiotics, [[doxycycline]] and second generation [[quinolones]] are effective treatments. Disease from mycoplasma is usually mild to moderate in severity. You can take these steps at home:
*Supportive therapy includes rest, adequate fluid intake, and administration of either nonsteroidal anti-inflammatory drugs ([[NSAIDS]]) or [[acetaminophen]] if needed.
 
*[[Aspirin]] should be avoided among children.
* Control your fever with [[aspirin]], nonsteroidal anti-inflammatory drugs (NSAIDs, such as [[ibuprofen]] or [[naproxen]]), or [[acetaminophen]]. DO NOT give aspirin to children.
===Antimicrobial Regimen===
* Do not take cough medicines without first talking to your doctor. Cough medicines may make it harder for your body to cough up the extra [[sputum]].
All patients diagnosed with ''Mycoplasma'' pneumonia are treated with antimicrobial therapy.
* Drink plenty of fluids to help loosen secretions and bring up [[phlegm]].
:* 1. '''Atypical pneumonia'''<ref>{{cite book | last = Bennett | first = John | title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455748013 }}</ref><ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
* Get a lot of rest. Have someone else do household chores.
::* Preferred regimen (1): [[Azithromycin]] 500 mg PO qd on day 1 and 250 mg PO qd on days 2 to 5
::* Preferred regimen (2): [[Clarithromycin]] 500 mg PO qd for 14 days
::* Preferred regimen (3): [[Moxifloxacin]] 400 mg PO qd for 14 days
::* Preferred regimen (4): [[Levofloxacin]] 750 mg PO qd for 14 days
::* Alternative regimen : [[Doxycycline]] 100 mg PO bid for 14 days


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Infectious Disease Project]]
[[Category:Disease]]
[[Category:Pulmonology]]

Latest revision as of 01:22, 8 February 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Antimicrobial therapy is the mainstay of therapy for atypical pneumonia caused by Mycoplasma. Pharmacologic therapies for Mycoplasma pneumonia include either a macrolide (e.g. azithromycin) for 2-5 days, doxycycline for 14 days, or a fluoroquinolone for 14 days. Supportive therapy includes rest, adequate fluid intake, and administration of either non-steroidal anti-inflammatory drugs (NSAIDS) or acetaminophen if needed. Aspirin should be avoided among children.

Medical Therapy

Supportive Care

  • Supportive therapy includes rest, adequate fluid intake, and administration of either nonsteroidal anti-inflammatory drugs (NSAIDS) or acetaminophen if needed.
  • Aspirin should be avoided among children.

Antimicrobial Regimen

All patients diagnosed with Mycoplasma pneumonia are treated with antimicrobial therapy.

  • Preferred regimen (1): Azithromycin 500 mg PO qd on day 1 and 250 mg PO qd on days 2 to 5
  • Preferred regimen (2): Clarithromycin 500 mg PO qd for 14 days
  • Preferred regimen (3): Moxifloxacin 400 mg PO qd for 14 days
  • Preferred regimen (4): Levofloxacin 750 mg PO qd for 14 days
  • Alternative regimen : Doxycycline 100 mg PO bid for 14 days

References

  1. Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
  2. Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.