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Flashcards in Pneumonia Deck (16):
1

Typical CAP Organisms stain and treatment

Streptococcus pneumonia gram positive cocci in chains
Haemophilus influenza - gram negative bacilli
Morazella catarrhalis

2

Atypical CAP organisms, definition, treatment?

Lack cell was so do not respond to beta lactams

Mycoplasma pneumonia - erythromycin (macrolide, inhibit protein synthesis)/clari (macrolide, inhibit protein synthesis) + dox (tetracycline - inhibits protein synthesis)
Staphylococcus aureus - amoxicillin + dox/clari + fluclox (penicillinase resistant penicillin - prevents peptidoglycan cell wall cross linking)
Legionella
Clamydia

3

IE COPD? organism?

H infuenza

4

Flu -> dry cough

Mycoplasma pneumonia

5

Following influenza

Staph aureus

6

Air conditioning acquired?

LEgionella

7

Features of legionella pneumonia? Treatment

lymphopoenia, hyponatraemia
Fluoroquinolone (quinolone - inhibits DNA gyrase - inhibits DNA synthesis) + clarithromycin (macrolide, inhibit protein synthesis)

8

HAP organisms?

Staphylococcus aureus - gram positive cocci in clusters
E.coli - gram neg rods
Psuedomonas aeruginosa

9

Ventilator associated pneumonia? Prevention? Treatment

Pseudomonas aeurginosa, staph aureus
prevent by mouthwash, silver coated tube, wean off ASAP
Ciprofloxacin PO (quinolone - inhibits DNA gyrase - inhibits DNA synthesis)
Gentamicin IV (aminoglycoside - inhibits bacterial protein synthesis)

10

Pneumonia in alcoholics?

Klebsiella pneumoniae

11

Pneumonia in immunocompromised? treatment?

Pneumocytis jirovecii - dry cough, absence of chest signs
Co-trimoxazole

12

CURB1 treatment?

Amoxicillin (penicillin - inhibits bacterial peptidoglycan cell wall cross linking) PO 5 days
Doxycylcline (tetracycline - inhibits bacterial protein sytheiss) if pen allergic

13

CURB 2 treatment

Amox (penicillin - inhibits bacterial peptidoglycan cell wall cross linking) + dox/clari PO 7 days

14

CURB3 treatment?

Co-amoxiclav (penicillin - inhibits bacterial peptidoglycan cell wall cross linking + clavulanic acid - beta-lactamase inhibitor) + dox (tetracycline - inhibits bacterial protein sytheiss)/clari (macrolide, inhibit protein synthesis) IV 7 days

15

MRSA treatment?

Co-amoxiclav (penicillin - inhibits bacterial peptidoglycan cell wall cross linking + clavulanic acid - beta-lactamase inhibitor) + dox (tetracycline - inhibits bacterial protein sytheiss) /clari (macrolide, inhibit protein synthesis) + flucloxacillin (penicillinase resistant penicillin - prevents peptidoglycan cell wall cross linking)/vancomycin (glycopeptide - inhibits cell wall synthesis) if MRSA

16

Comlications

RF PaO2<8kPa
Hypotension - dehydration and vasodilation
sepsis
AF
Pleural effusion
Empyema
Lung abscess