Flashcards in Pneumonia Deck (20):
What is the most common causative agent of pneumonia?
What are common causes of hospital acquired pneumonia?
What type of bacteria cause aspiration pneumonia?
Anaerobic eg Klebsiella and Enterobacter
What other causative agents of CAP are rarer?
Coxiella burnetti (Q-Fever)
How would we treat a Mycoplasma, Coxiella or Chlamydia pneumonia?
Pneumonia in a person who works with sheep/goats?
Pneumonia in a patient who has a pet parrot?
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
How would we treat a non-severe hospital acquired or aspiration pneumonia?
PO amoxicillin and metronidazole
How would we treat a mild strep pneumoniae infection?
Pneumonia in a patient who recently travelled abroad?
How is legionella pneumonia detected and treated?
Erythromycin or Clarythromycin or Levofloxacin
Pneumonia in a patient with AIDS
Treatment of pneumocystis pneumonia?
(Second line is pentamidine)
Treatment of fungal aspergillus pneumonia?
IV amphotericin B
How would we treat pseudomonas pneumonia?
What is lobar pneumonia?
Complete consolidation of entire lung lobe
What happens in bronchopneumonia?
Starts in airways and spreads to alveoli
What is the clinical context of a lobar pneumonia?
Community acquired by healthy, young adults in close proximity