Clinical: Pneumonia Flashcards
Which organism is associated with causing pneumonia in alcoholics?
Klebsiella
Strep pneumo is easily treated with antibiotics, why is it often fatal?
Septicemia occurs very rapidly and is difficult to reverse.
How do bacterial vs. viral or other atypical pneumonias differ on CXR?
Bacterial: lobal consolidation
Atypical: diffulse involvement
What organism causes scant, watery sputum?
Mycoplasma
Common organism that causes pneumonia in diabetics.
Pseudomonas
What 3 bugs cause pneumonia in COPD?
- H. flu
- Moraxella
- Pneumococcal
Bug that causes atypical pneumonia and tends to cause fever.
Legionella
Unique symptom of legionella infection.
Hyponatremia
Most common causes of CAP in elderly population and standard treatment.
Pneumococcal and Legionella
Tx: beta lactam with macrolides
What is normal treatment for Nosocomial Pneumonia?
Beta Lactam or
Antipseudomonal: fluoroquinolone, Tobramycin, Vanco
What are some factors leading to development of drug resistant bacterial strains.
- long course of antibiotics (more than 3 months)
- long hospital stay (more than 5 days)
- IC disease or therapy
- interaction with kids in daycare
What is a big risk factor for developing a colonization or pneumonia from Pseudomonas?
Structural Lung Disease
