ID-CAP

Question 1

For someone diagnosed with CAP, how to determine the site of care?

Answer 1

CURB-65
Confusion, Uremia >20, RR >30, BP <90, age 65+

0-1 Ambulatory care
2 admitted for management
3-ICU or progressive care

Question 2

For CAP, when can you switch from IV to oral?

Answer 2

1) fever resolved
2) RR <24
3) BP stable
4) Good arterial saturation
5) able to take PO
6) normal mental status

• no need to monitor in the hospital after the switch, doesn’t improve outcomes

Question 3

Duration of abx therapy for CAP

Answer 3

not longer than 5 days, does not show benefit otherwise

Question 4

CAP bugs: alcoholism

Answer 4

S pneumonia, oral anaerobes, Klebsiella pneumoniae, Acinetobacter species, M. tuberculosis

Question 5

CAP bugs: COPD and/or smoking

Answer 5

H. influenza, Pseudomonas, Legionella, S. pneumoniae, Moraxella catarhallis, Chamydophila pneumoniae

Question 6

CAP bugs: Bird or bat droppings

Answer 6

Histoplasma capsulatum

Question 7

CAP bugs: Exposure to birds

Answer 7

Chlamydophila psittaci, (if poultry: avian influenza)

Question 8

CAP bugs: exposure to rabbits

Answer 8

Francisella tularensis

Question 9

CAP bugs: farm animals or parturient cats

Answer 9

Coxiella burnetii

Question 10

CAP bugs: rodent poop

Answer 10

Hantavirus

Question 11

CAP bugs: Hotel or cruise shitp

Answer 11

Legionella

Question 12

CAP bugs: SW United states

Answer 12

Coccidioides species, hantavirus