LRTI Flashcards
1
Q
Types of lower respiratory infections
A
- acute bronchitis
- chronic bronchitis
- bronchiectasis
- bronchiolitis
2
Q
Bacteria that cause CAP
A
- Strep pneumoniae
- H. influenzae
- Klebsiella
- Moraxella catarrhalis
- S. aureus
3
Q
Clinical syndrome of CAP
A
- acute history (<2 weeks)
- cough
- chest pain
- fever
- consolidation
4
Q
What bug must always be covered for CAP?
A
Strep pneumoniae
5
Q
Co-morbidities that increase the risk of CAP
A
- HIV
- COPD
- Cardiac failure
- DM
6
Q
CURB-65
A
- Confusion
- Urea <7
- Resipiratory rate >30
- BP low
- 65
7
Q
Treatment for severe CAP
A
Cover all conventional and atypical bacteria
- 2nd or 3rd gen cephalosporin/ co-amoxiclav
and a macrolide
8
Q
Treatment for CAP with co-morbidity/ over 60 years
A
Cover all conventional bacteria
- 2nd or 3rd gen cephalosporin/ co-amoxiclav
- add macrolide if poor response in 2-3 days
9
Q
Treatment of mild/moderate CAP, no co-morbidity
A
Cover pneumococci
- penicillin/ amoxicillin
- add macrolide if poor response in 2-3 days
10
Q
Treatment for aspiration pneumonia. lung abscess
A
- co-amoxiclav/ penicillin and metronidazole
- B-lactam allergy (clindamycin)
