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J Parasit Dis Diagn Ther 2017
Volume 2 Issue 3 Tropical Medicine 2017
Notes:
Page 30
September 7-8, 2017 | Edinburgh, Scotland
4th International Conference on
Tropical Medicine, Infectious Diseases & Public Health
ASSOCIATION AND MANAGEMENT OF
INFLUENZA WITH SEVERE PNEUMONIA/
EMPYEMA IN THE COMMUNITY, HOSPITAL,
AND HEALTHCARE-ASSOCIATED SETTING
IN JAPAN
Masafumi SEKIa
aTohoku Medical and Pharmaceutical University Hospital, Japan
We will present three cases of influenza-related severe
pneumonia/empyema that occurred in one season.
Case 1. A 76-year-old diabetic man, developed empyema as
a result of severe community-acquired pneumonia (CAP)
secondary to Haemophilus influenzae, as confirmed on sputum
culture.
Case 2. A 55-year-oldman with suspected cerebral infarction and
diabetes mellitus (DM) developed severe pneumonia/empyema
as result of hospital-acquired pneumonia (HAP).
Case 3. A 76-year-old woman with heart failure and DM was
followed-up on an outpatient basis and was under nursing home
care for four months. Subsequently, she developed pneumonia
and was admitted to our hospital; influenza antigen was
isolated from nasal swab. Healthcare-associated pneumonia
(HCAP)/empyema were diagnosed. All three cases had DM,
and treated by intravaneous anti-influenza drug: peramivir. In
Japan, we have five anti-influenza agents and can choose each
agent dependent on influenza and pneumonia severity. Among
them, peramivir can be administered by drip infusion, and used
not only for the most severe patients, but also for the ambulatory
outpatients who have some medical issues. The insurance
system supports early administration of them with antibiotics,
and as a results, we might be able to have very low influenza-
related mortality. Today, our management style for influenza,
including vaccination and infection control team activity, will be
introduced.
Biography
Masafumi Seki has been graduated from Department of Medicine, Nagasaki
University, as Medical Doctor, with the specialties including Internal Medicine,
Infectious Diseases, and Infection Control. Later on he obtained his post-graduation,
started working at Osaka University. Presently he has been working at the Tohoku
Medical and Pharmaceutical University, Sendai City, Japan.
Masafumi SEKI, J Parasit Dis Diagn Ther 2017