CAP/HAP/VAP

Question 1

CAP first line IV antibiotics

Answer 1

ceftriaxone and azithromycin (doxy if the patient has QTC)

or

Levo (not cipro)

Question 2

CAP (no comorbidities) outpatient antibiotics

Answer 2

amoxicillin
Doxycycline
Azithromycin

Question 3

CAP (with comorbidities) outpatient antibiotics

Answer 3

(Augmentin or cefuroxime) + (azithro or doxy)

or

levo (not cipro)

Question 4

Common pneumonia symptoms

Answer 4

SOB
fever
cough with purulent sputum
rales/cracking noises in lungs
tachypnea

chest xray is the gold standard! will have “infiltrates”, “opacities” or “consolidations”

Question 5

common CAP pathogens

Answer 5

Streptococcus pneumoniae
Haemophilus influenzae
Mycoplasma pneumoniae

Question 6

What are risk factors for MRSA
or Pseudomonas aeruginosa

Answer 6

Having received IV antibiotics within the last 90 days

History of respiratory tract infection: Having a previous lower respiratory tract infection with MRSA or Pseudomonas aeruginosa

Crowded or unsanitary conditions: Living in a jail, child care center, or military training camp

Substance use: Using illicit injected drugs

Question 7

HAP first line IV antibiotics

Answer 7

cefepime (pseudo) and vancomycin (MRSA)

zosyn (anaerobic/pseudo) and vancomycin (MRSA)

Question 8

Antibiotic duration for CAP

Answer 8

5-7 days

Question 9

Antibiotic duration for HAP

Answer 9

7 days