$Unique_ID{BRK00128} $Pretitle{} $Title{Why Hasn't Penicillin Wiped Out All Pneumonias?} $Subject{infections cures penicillin Infection Pneumonias antibiotics antibiotic pneumonia streptococcal bacteria Streptococcus pneumoniae Legionella Legionnaire Legionnaire's disease mycoplasma fungus fungi fungal sputum bacterial bacterium lung lungs} $Volume{A-5} $Log{ Symptoms of Influenza and Strep Throat*0008501.scf Pneumonia Infected Lung*0015401.scf Lobar and Viral Pneumonia*0015402.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Why Hasn't Penicillin Wiped Out All Pneumonias? ------------------------------------------------------------------------------ QUESTION: If antibiotics are so effective, they should be capable of destroying all the germs responsible for disease. Why hasn't penicillin wiped out all pneumonias? ------------------------------------------------------------------------------ ANSWER: Although the penicillin antibiotics are effective against many forms of pneumonia, it won't treat them all. Before antibiotics were invented, almost all cases of pneumonia were attributed to streptococcal bacteria (Streptococcus pneumoniae), which respond well to penicillin. Now, strep pneumonia accounts for only 55% to 76% of cases. Other causes include Legionella (which causes Legionnaire's disease) and mycoplasma, a fungus. An additional problem is that pneumonias that were once susceptible to penicillin antibiotics are growing increasingly resistant. To diagnose pneumonia, a physician tests a sample of sputum coughed up from the lungs searching for the bacterial culprit. Many physicians treat most pneumonia cases empirically, that is they administer an antibiotic such as penicillin to kill the most likely causes before they get the test results back. If the first antibiotic doesn't work, then the test results are used to help choose a more specific or stronger antibiotic. Despite research, which continues to discover new and more affective antibiotics, I doubt that the day will ever arrive when a single medication will totally eradicate an infectious disease. Prevention is the name of the game. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.