Respiratory Infections Flashcards Preview

00. Empirical Antibiotics > Respiratory Infections > Flashcards

Flashcards in Respiratory Infections Deck (10)
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1

Describe the CURB65 score for pneumonia.

C - confusion
U - urea: 7+
R - respiratory rate: 30+
B - BP: <90/60
65 - over 65+ yo

2

Which antibiotics would you give for non-severe community acquired pneumonia (CAP), with a CURB65 score of 0-1?

For how long?

Amoxicillin, OR
Doxycycline, OR
Clarithromycin

Duration: 7 days

3

Which antibiotics would you give for non-severe community acquired pneumonia (CAP), which a CURB65 score of 2?

What would you give in the case of true penicillin allergy?

For how long?

Amoxicillin, PLUS
Doxycycline OR clarithromycin

In penicillin allergy: ONLY clarithromycin

Duration: 7 days

4

Which antibiotics would you give for severe community acquired pneumonia (CAP)?

What would you give in the case of true penicillin allergy?

For how long?

IV/oral clarithromycin, PLUS
IV amoxillin OR IV co-amoxiclav

In penicillin allergy: IV/oral levofloxacin

Duration: 7-10 days (up to 14 days if atypical organisms suspected)

5

How would you define severe CAP?

CURB65 score: 3+

OR

CAP with sepsis

6

Which antibiotics would you give for hospital acquired pneumonia? What if:

a) It occurs within 4 days of admission
b) It occurs 5+ days after admission and is i) non-severe or ii) severe

For each, state how long to continue treatment, and by which route to administer it.

WITHIN 4 DAYS ADMISSION:
Treat as CAP
Duration: 7 days

5+ DAYS AFTER ADMISSION:
Non-severe:
-Oral co-amoxiclav, OR
-Oral doxycycline
-Duration: 7 days

Severe:
-IV amoxicillin, PLUS
-IV aztreonam
-Duration: 7-10 days (up to 14 if atypical bacteria suspected)

7

Which antibiotics would you give for infectious exacerbations of COPD, or LRTIs?

For how long?

What is the only indication for antibiotic therapy in this case?

Oral amoxicillin, OR
Oral doxycycline, OR
Oral clarithromycin

Duration: 5 days

Indication: purulent sputum

8

Which antibiotics would you give for uncertain diagnosis of LRTI/UTI?

For how long?

Oral doxycycline, OR
Oral amoxicillin

Duration: 5 days

PLUS oral trimethoprim

Duration: 3 days in females, 7 days in males

9

Which antibiotics would you give for severe/complicated infectious exacerbations of COPD?

For how long?

IV amoxicillin, OR
IV clarithromycin

Duration: 7 days

10

Which antibiotics would you give for aspiration pneumonia?

For how long?

IV metronidazole, PLUS
IV amoxicillin OR IV clarithromycin

Duration: 7 days