Pneumonia

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Author:
Anonymous
ID:
201022
Filename:
Pneumonia
Updated:
2013-02-16 19:09:11
Tags:
Pneumonia
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Description:
Pneumonia ID
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  1. CAP- Outpatient
    healthy
    no previous abx
    Macrolide or Doxy
  2. CAP-Outpatient
    Comorbidities or
    previous abx (past 3 months)
    • Respiratory FQ (levo,moxi,gemi)
    • B-lactam + macrolide or doxy
  3. CAP- inpatient
    General ward
    • Respiratory FG (moxi,levo)
    • B-lactam (IV) + macrolide or doxy
    • ertapenem if gram - concern
  4. CAP- inpatient
    ICU
    • B-lactam (IV) + azith
    • B-lactam + respiratory FQ
    • Ca-MRSA add vanc or linezolid
  5. PSSP
    • Pen G
    • Amoxicillin
    • Macrolides
    • Cephs
    • Resp FQ
    • Doxy
  6. PRSP
    • Resp FQ
    • Cefotaxime, ceftriaxone
    • Vancomycin
    • linezolid
    • high dose amoxicillin
  7. H. Flu
    Non-B-lactamase producing
    • Amoxicillin
    • FQ
    • Doxy
    • Azith or clarith
  8. H. Flu
    B-lactamase producing
    • 2nd or 3rd gen ceph
    • amox/clav
    • FQ
    • Doxy
    • Azith or clarith
  9. Mycoplasma and chlamydophilia
    • Macrolide
    • doxy
    • FQ
  10. Legionella
    • Any FQ
    • Azith
    • Doxy
  11. MSSA
    • Nafcillin
    • oxacillin
    • Cefazolin
    • Clinda
  12. MRSA
    • Vanco
    • linezolid
    • bactrim
  13. anaerobe
    • B-lactam/B-lacamase inhibitor
    • Clinda
    • Carbapenem
  14. Enterobacteriaceae
    • 3rd or 4th gen ceph
    • carbapenem
    • B-lactam/B-lactamase inhibitor
    • FQ
  15. Flu virus
    • Oseltamivir
    • Zanamivir
  16. Histoplasma
    • Itraconazole
    • Amphotericin B
  17. HAP, VAP, HCAP
    empiric
    Early onset
    no MDR risk factors
    • Ceftriaxone
    • levo, moxi, cipro
    • amp/sul
    • ertapenem
  18. HAP, VAP, HCAP
    empiric
    Late onset
    risk factors for MDR
    • cefepime, ceftazidime
    • meropenem, imipenem, doripenem
    • Pip/Tazo
    • AND
    • Cipro, levo
    • Tobra, gent, amik
    • AND
    • Linezolid
    • Vanco

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