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Year 1 - Respiratory (DP) > Pneumonia > Flashcards

Flashcards in Pneumonia Deck (20):
0

What is the most common causative agent of pneumonia?

Strep. pneumoniae

1

What are common causes of hospital acquired pneumonia?

Staph. aureus
Gram negatives
- Pseudomonas
- Escherichia

2

What type of bacteria cause aspiration pneumonia?

Anaerobic eg Klebsiella and Enterobacter

3

What other causative agents of CAP are rarer?

Mycoplasma pneumoniae
Coxiella burnetti (Q-Fever)
Chlamydia

4

How would we treat a Mycoplasma, Coxiella or Chlamydia pneumonia?

Clarithromycin

5

Pneumonia in a person who works with sheep/goats?

Coxiella burnetti

6

Pneumonia in a patient who has a pet parrot?

Chlamydia psittaci

7

How do we treat a severe hospital-acquired (staph or gram negatives) or aspiration (klebsiella and enterobacter) pneumonia?

IV amoxicillin + metronidazole + gentamicin
STEP DOWN TO PO Co-trimoxazole + metronidazole

IF PENICILLIN ALLERGIC
IV co-trimoxazole + metronidazole +/- gentamicin
SAME STEP DOWN

8

How would we treat a non-severe hospital acquired or aspiration pneumonia?


PO amoxicillin and metronidazole

9

How would we treat a mild strep pneumoniae infection?

Amoxicillin

10

Pneumonia in a patient who recently travelled abroad?

Legionella

11

How is legionella pneumonia detected and treated?

Urinary antigen
Erythromycin or Clarythromycin or Levofloxacin

12

Pneumonia in a patient with AIDS

Pneumocystis jiroveci

13

Treatment of pneumocystis pneumonia?

Co-trimoxazole
(Second line is pentamidine)

14

Treatment of fungal aspergillus pneumonia?

IV amphotericin B

15

How would we treat pseudomonas pneumonia?

Oral fluoroquinolone
OR
IV gentamicin

16

What is lobar pneumonia?

Complete consolidation of entire lung lobe

17

What happens in bronchopneumonia?

Starts in airways and spreads to alveoli
Widespread infiltrates

18

What is the clinical context of a lobar pneumonia?

Community acquired by healthy, young adults in close proximity

19

What is the clinical context of bronchopneumonia?

COPD
Elderly
Viral
Aspiration