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Antibiotics 101 > Lung > Flashcards

Lung Flashcards

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1
Q

Which organisms cause mild/moderate CAP?

A

Pneumococcus

H. influenzae

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2
Q

Which organisms cause severe CAP?

A

Pneumococcus
H. influenzae
Possible coliforms

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3
Q

Which atypical organisms causs severe CAP?

A

Legionella
Mycoplasma
Chlamydia pneumoniae
Coxiella

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4
Q

Which organisms cause acute exacerbation of COPD?

A

Pneumococcus

Haemophilus influenzae

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5
Q

Which organisms cause hospital acquired pneumonia?

A

Pneumococcus
H. Influenzae
Coliforms
Legionella (can be hospital acquired)

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6
Q

If you suspect someone has pneumonia what investigation should you do?

A

Blood cultures
Clotted blood for atypical bacteria
Throat swab in viral medium
Sputum for bacterial culture

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7
Q

What is the treatment for mild/moderate CAP?

A

Amoxicillin

If P allergy: Doxycycline PO or Clarithromycin IV

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8
Q

What is the treatment for severe CAP?

A

Co-amoxiclav IV + Doxycycline PO

If P allergy: IV Levofloxacin

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9
Q

What is the treatment for CAP in ICU/HDU?

A

Co-amoxiclav IV + Clarithromycin IV

If P allergy: IV Levofloxacin

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10
Q

What is the step down for ALL patients with severe CAP?

A

Doxycycline

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11
Q

What is the treatment for non-severe HAP?

A

PO Amoxicillin

If P allergy: Doxycycline

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12
Q

What is the treatment for severe HAP?

A

IV Amoxicillin + Gentamicin

If P allergy: IV Co-trimoxazole + Gentamicin

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13
Q

What is the step down for HAP?

A

PO Co-trimoxazole

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14
Q

What is the treatment for non-severe aspiration pneumonia?

A

PO Amoxicillin + Metronidazole

If P allergy: PO Doxycycline + Metronidazole

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15
Q

What is the treatment for severe aspiration pneumonia?

A

IV Amoxicillin + Metronidazole + Gentamicin

If P allergy: replace amoxicillin with PO Doxycycline or IV Clarithromycin

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16
Q

When should you only ever give antibiotics for acute exacerbation of COPD?

A

Increase in sputum purulence

If no increase then must be CXR consolidation +/- signs of pneumonia

17
Q

What is the 1st line treatment for acute exacerbation of COPD?

A

Amoxicillin

18
Q

What is the 2nd line treatment for acute exacerbation of COPD?

A

Doxycycline

19
Q

What is the treatment for acute cough/ acute bronchitis?

A

Antibiotics may be considered in frail elderly
1st line= amoxicillin
2nd line= doxycycline

Antibiotics 101 (16 decks)

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