CAP

Question 1

list the 2 common microorganisms for CAP.

Answer 1

s. pneumoniae, h. influenzae

Question 2

what extra microorg to cover for inpatient severe CAP?

Answer 2

burkholderia pseudomallei

Question 3

what is CURB65

Answer 3

Confusion (new onset) 1pt
Urea > 7 mmol/L 1pt
RR ≥ 30 breaths/min 1pt
Blood Pressure (SBP < 90 mmHg
or DBP ≤ 60 mmHg) 1pt
Age ≥ 65 years 1pt

Question 4

CURB65 score how much for inpatient

Answer 4

2. > 3: consider ICU

Question 5

minor criteria for CAP

Answer 5

▪ RR ≥ 30 breaths/min
▪ PaO2/FiO2 ≤ 250
▪ Multilobar infiltrates
▪ Confusion/disorientation
▪ Uremia (urea > 7 mmol/L)
▪ Leukopenia (WBC < 4 x 109/L)
▪ Hypothermia (core temperature < 360C)
▪ Hypotension requiring aggressive fluid
resuscitation

Question 6

major criteria for CAP

Answer 6

▪ Mechanical ventilation
▪ Septic shock requiring vasoactive medications

Question 7

outpatient no comorb use?

Answer 7

amoxicillin 1g q8H or respi FQ

Question 8

outpatient w comorbidities use?

Answer 8

amox/clav OR cefuroxime
+
macrolide OR doxycycline

or

respi FQ

Question 9

inpt non severe

Answer 9

amox/clav OR cefuroxime OR ceftriaxone
+
macrolide OR doxy

or
respi FQ

Question 10

inpt non severe / severe
with MRSA risk

Answer 10

add on IV vanco or IV/PO linezolid

Question 11

inpt non severe with P. aeruginosa

Answer 11

piptazo, ceftazidime, cefepime, meropenem, levoflox

Question 12

inpt, severe

Answer 12

amox/clav OR pen G
+
ceftazidime
+
macrolide

or
respi FQ
+ ceftazidime