Pneumonia

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Author:
wcameron
ID:
221743
Filename:
Pneumonia
Updated:
2013-05-30 19:33:02
Tags:
PNA
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Description:
PNA
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  1. Clinical features of CAP
    cough

    fever

    sputum production

    pleuritic chest pain

    Dx: CXR shows infiltrate
  2. Admission criteria for pneumonia
    CURB-65

    Confusion

    • Uremia - BUN >20
    • Respiratory rate > 30

    Blood pressure <90 or diast.<60 

    • 65 years old


    • SCORE
    • 0-1 OP treatment
    • 2 = OP or inpatient treatment
    • >3 = Inpatient & possibly ICU
  3. Pathogens in CAP
    S.pneumoniae (70%)

    H.influenzae (2nd by guidelines book)

    M.pneumoniae (2nd by book)
  4. OP treatment of CAP

    Previously healthy & no risk factors for DRSP infection
    MACROLIDE (azithromycin, clarithromycin, erythromycin)

    *doxycycline (weak rec.)
  5. OP treatment of CAP

    Presence of comorbidities (inc.use of antimicrobials w/in the past 3 mos.)
    RESP.FLUOROQUINOLONE (moxifloxacin, gemifloxacin, levofloxacin)

    • Alternative:
    • b-lactam + macrolide (high dose amox. or augmentin preferred).

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