CAP Flashcards
Empiric therapy for previously healthy, outpatient?
macrolide OR doxycycline
Empiric therapy for comorbid (COPD, DM, liver/renal failure, CHF, alcoholism, cancer, asplenia) or recent ABX therapy (w/in 3 months) outpatient?
respiratory FQ (levoflox, moxiflox)
advanced macrolide (or doxy)+HIGH dose amox (1 g TID) or HIGH dose augmentin (2g BID)
empiric therapy for suspected aspiration w/ infection for outpatient? need to cover anaerobes also
augmentin OR clindamycin
empiric therapy for influenza w/ bacterial superinfection for CAP outpatient? class AND drug name
oral BL (HIGH dose augmentin) or respiratory FQ (levo or moxiflox)
empiric therapy for hospitalized CAP patient on GENERAL WARD: class AND drug name
respiratory FQ (levo or moxiflox) OR advanced ML (azith-IV admin) + BL (ceftriaxone)
empiric therapy for ICU CAP patient WITHOUT pseudomonas issue: class AND drug name
vancomycin (for MRSA)
BL (ceftriaxone) + respiratory FQ (levoflox or moxiflox)
empiric therapy for ICU CAP patient WITHOUT pseudomonas issue: class AND drug name
PCN allergy
respiratory FQ +/- clindamycin
empiric therapy for ICU CAP patient WITH pseudomonas issue: class AND drug name
antipseudomonal BL (zosyn) + respiratory FQ (levofloxacin)
empiric therapy for ICU CAP patient WITH pseudomonas issue: class AND drug name
PCN allergy
aztreonam + respiratory FQ (levofloxacin)
what is the MOST common pathogen for CAP? what are other possible pathogens?
S. pneumoniae
others: H. influenza and atypicals
When can you convert patient from IV-PO? Name THREE criteria
Clinically stable for 24 hours
Able to take oral meds
Adequate GI function
What are the three criteria for having a clinically stable patient?
- Temp (<100)
What is duration of therapy for CAP? How long should patient be a febrile?
- Min of 5 days
2. 48-72 hours
