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Pharmacology (5th year) > LRTI > Flashcards

Flashcards in LRTI Deck (10):
1

Types of lower respiratory infections

- acute bronchitis
- chronic bronchitis
- bronchiectasis
- bronchiolitis

2

Bacteria that cause CAP

- Strep pneumoniae
- H. influenzae
- Klebsiella
- Moraxella catarrhalis
- S. aureus

3

Clinical syndrome of CAP

- acute history (<2 weeks)
- cough
- chest pain
- fever
- consolidation

4

What bug must always be covered for CAP?

Strep pneumoniae

5

Co-morbidities that increase the risk of CAP

- HIV
- COPD
- Cardiac failure
- DM

6

CURB-65

- Confusion
- Urea <7
- Resipiratory rate >30
- BP low
- 65

7

Treatment for severe CAP

Cover all conventional and atypical bacteria
- 2nd or 3rd gen cephalosporin/ co-amoxiclav
and a macrolide

8

Treatment for CAP with co-morbidity/ over 60 years

Cover all conventional bacteria
- 2nd or 3rd gen cephalosporin/ co-amoxiclav
- add macrolide if poor response in 2-3 days

9

Treatment of mild/moderate CAP, no co-morbidity

Cover pneumococci
- penicillin/ amoxicillin
- add macrolide if poor response in 2-3 days

10

Treatment for aspiration pneumonia. lung abscess

- co-amoxiclav/ penicillin and metronidazole
- B-lactam allergy (clindamycin)