Lower Respiratory Tract Flashcards
What is the CURB 65 score for low severity Community Acquired Pneumonia
0-1
First-line treatment for low severity Community Acquired Pneumonia
Oral Amoxicillin 1g 8 hourly
Oral Doxycycline 200mg STAT 100mg daily
What period should antibiotics be prescribed for low severity Community Acquired Pneumonia
5 days
Extend if symptoms do not improve in 3 days
What is the CURB 65 score for Moderate Severity Community Acquired Pneumonia
2
What is the first line treatment for Moderate Severity Community Acquired Pneumonia
IV/Oral Amoxicillin 1g 8 hourly + Oral Clarithromycin 500mg 12 hourly
What is the first line treatment for Moderate Severity Community Acquired Pneumonia if the patient has a penicillin allergy
Oral Doxycycline 100mg 12 hourly
What period should antibiotics be prescribed for Moderate Severity Community Acquired Pneumonia
5-7 days
What is the CURB 65 score for High Severity Community Acquired Pneumonia
> /= 3
What is the first line treatment for High Severity Community Acquired Pneumonia
IV Amoxicillin 1g 8 hourly + oral clarithromycin 500mg 12 hourly
What oral antibiotic do you switch to for treatment of High Severity Community Acquired Pneumonia
Oral Doxycycline 100mg 12 hourly
Oral Amoxicillin 1g 8 hourly
If the patient has a had previous antibiotics what do you prescribe for High Severity Community Acquired Pneumonia
Co-amoxiclav 1.2g 8 hourly IV + clarithromycin 500mg 12 hourly -> Oral Doxycycline 100mg 12 hourly
If the patient has a had previous antibiotics and a penicillin allergy what do you prescribe for High Severity Community Acquired Pneumonia
Co-trimoxazole 960mg 12 hourly IV
Levofloxacin 500mg 12 hourly IV
Oral- Doxyxline 100mg 12 hourly, Co-trimoxazole 960mg 12 hourly
How long should antibiotics be prescribed for in High Severity Community Acquired Pneumonia
7-10 days
What is the oral treatment for Aspiration Pneumonia
Amoxicillin 1g 8 hourly + Metronidazole 400mg 8 hourly
What is the IV treatment for Aspiration Pneumonia
Amoxicillin 1g 8 hourly
Metronidazole 500mg 8 hourly
What is the treatment for Aspiration Pneumonia for patients with penicillin allergy
Metronidazole Oral 400mg/ IV 500mg 8 hourly
Clarithromycin Oral 500mg 12 hourly
What is the first-line treatment of a mild-moderate exacerbation of COPD
Oral Amoxicillin 1g 8 hourly
What is the first-line treatment of a mild-moderate exacerbation of COPD if the patient has a penicillin allergy
Oral Doxycycline 200mg STAT, 100mg daily
What is the antibiotic prophylaxis for COPD patients
Azithromycin
What is the first-line treatment for a severe infective exacerbation of COPD
Co-trimoxazole 960mg 12 hourly IV
Doxycycline 200mg STAT 100mg daily`
What is the second-line treatment for a severe infective exacerbation of COPD
Clarithromycin 500mg 12 hourly IV–> Oral
How long should antibiotics be prescribed for severe infective exacerbation of COPD
7 days
How many days are considered early HAP
4 or less days
How many days are considered late HAP
5 or more days
What is the first line treatment for non severe HAP
Amoxicillin 1g 8 hourly Oral
What is the first line treatment for non severe HAP if the patient has a penicillin allergy
Doxycycline 100mg 12 hourly Oral
or Co-trimoxazole 960mg 12 hourly oral
How long should antibiotics be prescribed for non severe HAP
5 days
What is the first line treatment for severe HAP if the patient has a penicillin allergy
Levofloxacin 500mg 12 hourly
7-10 days
What is the treatment of severe HAP that is MRSA positive
IV Vancomycin
What is the treatment for severe HAP
Co-amoxiclav 1.2g 8 hourly + gentamicin IV –> Co-amoxiclav 625mg hourly
