Algorithms Flashcards
CAP + Hx of CB or COPD
H. influenzae Moraxella spp. S. pneumoniae rarely: C. pneumoniae S. aureau Gram (-) rods Influenza virus
CAP + Hx of Viral Inf.
S. pneumoniae
H. influenzae
S. aureus
CAP + Hx of Cystic Fibrosis
H. influenzae
S. aureus
P. aeruginosa
B. cepacia
CAP + Sickle cell Dx
Asplenics, B cell defects: Multiple myeloma
S. pneumoniae
K. pneumoniae
CAP + HIV or immunocompromise
S. pneumoniae H. influenzae MTB P. carinii Atypical mycobacteria CMV Cryptococcus spp. Legionella spp. Aspergillus
CAP + Cancer/neutropenia
Nocardia
Gram (-) rods (P. aeruginosa)
Aspergillus
CAP + Diabetic Ketoacidosis
S. pneumoniae
S. aureus
CAP + bird/poultry exposure
Chlamydia psittaci
CAP + Pregnant cat, cattle, sheep, goat exposure
Brucella spp., Coxiella burnetii
CAP + wool sorter or animal hide exposure
Bacillus anthracis
CAP + Bat or Bird droppings/rabbit
H. capsulatum/
F. tularensis
CAP + rodent exposure
Hantavirus
NW arenavirus
CAP + very young age
RSV, hMPV, HPIV Influenzavirus
Adenovirus
CAP + elderly age
S. pneumoniae H. influenzae P. aeruginosa K. pneumoniae Other G(-)rods C. pneumoniae
CAP + travel to tropics or SE Asia
B. pseudomallei
CAP + travel to Midwest
H. capsulatum
B. dermatitis
CAP + travel to SW US
C. immitis
CAP + aerosolized water
Legionella
CAP + IV Abuse
S. pneumoniae
S. aureus
MTB
Anaerobes
CAP + Closed populations-
Military camp/
College campus
S. pneumoniae C. pneumoniae M. pneumoniae Adenovirus RSV, hMPV, Influenzaevirus
CAP + Poor/Alcoholic/Homeless
S. pneumoniae K. pneumoniae Other G(-)rods MTB Anaerobes A. israelii
CAP + Nursing Home
S. pneumoniae
H. influenzaes
M. catarrhalis
HAP + UTI or CVC use
S. epidermidis
S. aureus
G (-) rods
HAP + Ventilator
EARLY
S. aureus
S. pneumoniae
H. influenzae
LATE
P. aeruginosa
Acinetobacter
G (-) rods
HAP + Nursing Home
S. pneumoniae S. aureus H. influenzae Other G (-) rods Agents of viral pneumonia C. pneumoniae M. pneumoniae Anaerobes
HAP + Sickle Cell Dx or Asplenics
S. pneumoniae K. pneumoniae
HAP + HIV/immunocompromised
S. pneumoniae P. carinii MTB Atypical mycobacteria CMV Cryptococcus spp. Legionella spp. Aspergillus
HAP + Cancer/neutropenia
Nocardia
Gram (-) rods, especially
P. aeruginosa
Aspergillus
HAP + aspiration pneumonitis
K. pneumoniae
Other G(-)rods
Anaerobes