INDIGENOUS VACCINE FOR PNEUMONIA GETS NOD
Serum Institute first obtained the DGCI approval to
conduct Phase I, Phase II and Phase III clinical trials of Pneumococcal
Polysaccharide Conjugate Vaccine in India
Earlier the demand for such vaccine was substantially met
by licensed importers since the manufacturers were all based outside India
Used for active immunisation against invasive disease and
pneumonia caused by ‘streptococcus pneumonia’ in infants
Pneumonia
is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli
Edwin
Klebs was the first to
observe bacteria in the airways of persons having died of pneumonia in 1875
Sir William
Osler, known as
"the father of modern medicine", appreciated the death and disability
caused by pneumonia, describing it as the "captain of the men of
death" in 1918, as it had overtaken tuberculosis
as one of the leading causes of death in this time
Viral pneumonia was first
described by Hobart
Reimann in 1938
Pneumonitis refers to lung inflammation;
pneumonia refers to pneumonitis, usually due to infection but sometimes
non-infectious, that has the additional feature of pulmonary consolidation
Pneumonia
is usually caused by infection with viruses or bacteria and less commonly by other microorganisms, certain medications
or conditions such as autoimmune diseases
Symptoms
typically include some combination of productive or dry cough, chest pain, fever and difficulty breathing
Pneumonia can cause
respiratory failure by triggering acute respiratory distress syndrome (ARDS). The lungs quickly fill with fluid and
become stiff. Other causes of circulatory failure are hypoxemia, inflammation, and increased coagulability
Vaccines to prevent certain types of pneumonia are
available. Other methods of prevention include hand
washing and not smoking
Factors that predispose to
pneumonia: Smoking, immunodeficiency, alcoholism, chronic obstructive pulmonary disease, sickle cell disease (SCD), asthma, chronic kidney disease, liver disease, and old age. Additional risks in children include
not being breastfed, exposure to cigarette smoke and other air
pollution, malnutrition, and poverty. The use of acid-suppressing
medications – such as proton-pump inhibitors or H2
blockers – is associated
with an increased risk of pneumonia
Bacteria are the most common
cause of community-acquired pneumonia (CAP), with Streptococcus pneumoniae isolated in nearly 50% of cases. Other include Haemophilus influenzae, Chlamydophila pneumoniae, and Mycoplasma pneumoniae; Staphylococcus aureus; Moraxella catarrhalis; and Legionella pneumophila
Streptococcus
pneumoniae is more common in the winter
Viruses include rhinoviruses, coronaviruses, influenza virus, respiratory syncytial virus (RSV), adenovirus, and parainfluenza
Different viruses predominate
at different times of the year; during flu season,
for example, influenza may account for more than half of all viral cases
Fungal pneumonia is uncommon,
but occurs more commonly in individuals with weakened immune systems due to AIDS, immunosuppressive drugs, or other medical problems. Caused by Histoplasma capsulatum, Blastomyces,
Cryptococcus neoformans, Pneumocystis jiroveci, and Coccidioides immitis
A variety of parasites can affect the lungs, including Toxoplasma gondii,
Strongyloides stercoralis, Ascaris lumbricoides, and Plasmodium malariae. These organisms typically enter the body through
direct contact with the skin, ingestion, or via an insect vector
Idiopathic interstitial
pneumonia or noninfectious pneumonia is a class of diffuse lung diseases Lipoid pneumonia is another rare cause due to lipids entering the lung.
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