Lung abscess
Protocols
Clinical Features:
- 1)Cough
- 2)Fatigue
- 3)Fever
- 4)Loss of appetite
- 5)Night sweats
- 6)Sputum (a mixture of saliva and mucus) with pus that’s often sour-tasting, foul-smelling, or streaked with blood
- 7)Weight loss
investigations:
- 1)CXR ([post id="222" title="X-ray-Lungs-Abscess"])
- 2)CBC
- 3)Sputum for gram staining and C/S
- 4)CT Scan of chest
Rx:
1. Bed rest
2. Diet-Normal
3.Tab.Clacido([post id="425" title="Amoxicillin+Clavulanic-Acid"]) (625 mg) 1+1+1….7 days
4. Tab.[post id="406" title="Metronidazole"]( Filmet) (400mg) 1+1+1....1 month
5.Tab.Esonix([post id="392" title="Esomeprazole"])(20 mg)
1+0+1....10 days
6.Tab. Santogen(Multivitamin) 0+o+1...2 month
If pain/Fever:
Tab.Napa([post id="449" title="Paracetamol"])(500mg)
1+1+1....5-7 days
If severe:
💉Inj.Oricef([post id="398" title="Ceftriaxone"]) (2gm) 1 vial I/V- daily...7 days
💉Inj.Filmet([post id="406" title="Metronidazole"]) -1 bottle i/v- TDS
If not response:
- Antibiotic according to C/S
- USG guided percutaneous aspiration
- Postural drainage
- Physiotherapy