Flashcards in Pneumonia Deck (18)
what should be investigated for pneumonia etiology?
specific exposures (birds, caves)
admissions / antibiotics
what are the most common microorganism causes of pneumonia?
what organisms should be considered in pneumonia cases post-influenza after previous abx or lung disease?
anaerobic organisms are typically seen in what situations?
aspiration (alcohol, seizure, stroke)
what do anaerobic organisms cause in the context of pneumonia?
lung abscess and empyema
what is required for pneumonia diagnosis?
what are the physical findings in the lungs for pneumonia?
tachypnea (over 24)
crackles and consolidation (33%)
what are the blood findings for pneumonia?
leukocytosis with left shift
what is the gold standard for pneumonia diagnosis?
why is establishing specific pathogen for CAP not always required?
empiric therapy is generally very successful
in what situations is identification of the organism considered critical for pneumonia?
influena A/B and MERS
community acquired MRSA
agents of bioterrorism
how are the majority of pneumonia cases treated, generally?
when is sputum gram stain and culture recommended for CAP?
failure of abx
cavitary changes on imaging
when are sputum samples useful?
must be an acceptable sample
evidence of drug resistance
what is the treatment for previously healthy patients with pneumonia with no comorbidities?
what is the treatment for previously healthy patients with pneumonia with comorbidities?
oral respiratory quinolone
beta lactam PLUS a macrolide
what agents are used for non-ICU inpatient therapy?
respiratory quinolone or
anti-pseudomonal beta lactam PLUS a macrolide