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Flashcards in CAP empiric abx Deck (5)
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1
Q

Outpatient management

  1. for previously healthy patients w no risk factors for MRSA or psuedomonas:
    a. ________
    b. __________
    c. _________
A

amoxicillin
doxycycline
macrolide

2
Q

outpatient management

  1. for patients w comorbid medical conditions such as chronic heart, lung liver, or kidney disease; diabetes; alcoholism; malignancy; asplenia; immunosuppressant conditions or use of immunosuppressive drugs; or use of antibiotics within previous 3 months
    a. _______ or _______ plus an oral beta lactam (___________, __________,_________)
    b. ______ with an oral __________
A

macrolide, doxycycline
amoxicillin-cavulanate, cefopodoxime, cefuroxime
monotherapy
fluoroquinolone

3
Q

inpatient management of non severe pneumonia (typically not requiring intensive care)

a. a respiratory _________
b. ________ plus a ________. for IV therapy: _________/sulbactam; cefotaxime, ceftriaxone, ceftaroline

For patients with prior respiratory isolation of. MRSA, consider adding coverage for MRSA: ________ or __________

For patients with prior respiratory isolation of psuedomonas aeruginosa, strongly consider adding coverage for P aeurginosa. ___ therapy only !!! : ______________, cefepime, imipenem, meropenem

A
fluoroquinolone
macrolide, beta lactam
ampicillin
vancomycin, linezolid
IV
piperacillin-tazobactam
4
Q

Inpatient management of severe pneumonia (typically requiring intensive care) all agents are administed __, except as noted

  1. ______________ or a respiratory ________ plus IV anti-pneumococcal _______
  2. for patients allergic to beta lactam antibiotics a __________ plus _______
  3. for patients at risk for p. aueruginosa add coverage for p aeruginosa: ______________, cefepime, imipenem, meropenem, or aztreonam
A
azithromycin
fluoroquinolone
beta lactam
fluoroquinolone, aztreonam
piperacillin-tazobactam
5
Q

Inpatient management of severe pneumonia (typically requiring intensive care) all agents are administed __, except as noted

  1. for patients at risk for psuedonomas infection AND who are critically ill, at incresed risk for drug resistance, or if local incidence of monotherapy resistant Pseudomonas is >10% consider adding either
    a. an anti pseudomonal _________ (_____ or _______)
    OR
    b. an ___________ (gentamicin, tobramycin)

for pts at risk for MRSA add coverage for MRSA: ______ or ______

A
IV 
fluoroqinolone
cipro or levofloxcacin
aminoglicosyde
vancomycin, linezolid