HAP, Viral and Aspiration pneumonia Flashcards
Define hospital acquired pneumonia
New onset purulent cough and CXR consolidation after at least 2 days in hospital
What are the 3 most common HAP organisms?
Strep. pneumoniae
Mycoplasma pneumoniae
Viruses
What 2 groups of people have the highest morbidity with HAP?
Elderly
Co-morbidities
What is the treatment for non-severe HAP?
PO amoxicillin
Metronidazole
(5 days)
What is the treatment for severe HAP?
IV amoxicillin
Gentamycin
Metronidiazole
When a patient with severe HAP is feeling better, what should the step down treatment be?
PO Co-trimoxazole and metronidazole
What 2 groups of people is viral pneumonia common in?
Children under 2 y/o
Children with a history of URTI
What is the investigation for viral pneumonia?
Throat swab for PCR
WHat are the 5 causative organisms for viral pneumonia?
Adenovirus RSV Influenza Measles Parainfluenza
What is the treatment within 48 hours of onset of infleunza pneumonia?
Oseltamivir
Zanamivir
What is the treatment for adenovirus, RVS and parainfluenza pneumonia?
Supportive
What 3 vaccines prevent viral pneumonia?
Influenzae
Chicken pox
Measles
Why are aspiration pneumonias so severe?
Due to the destructive nature of gastric acid
What are the 2 most common locations for aspiration pneumonia?
Right middle and lower lobe
What is the common causative class organism of an aspiration pneumonia?
Anaerobes
