Pneumonia

Question 1

What bacterial organisms cause typical pneumonia?

Answer 1

Streptococcus pneumoniae
Haemophilus influenzae
Moxarella catarrhalis
Klebsiella pneumoniae
S.aureus
Group A strep

Question 2

What bacterial organisms cause atypical pneumonia?

Answer 2

Mycoplasma pneumoniae
Chalymdia pneumoniae
Chalymdia psittaci
Legionella pneumophila

Question 3

What symptoms does mycoplasma pneumoniae typically present with?

Answer 3

Sore throat
Headache
Abdominal pain
Nausea
Diarrhoea

Question 4

What symptoms does legionella pneumophila typically present with?

Answer 4

Diarrhoea
confusion
Consitutional upset

Question 5

Describe the CURB65 scoring system

Answer 5

C - confusion
U - urea >19mg/dl
R - resp rate >30
B - BP, SBP <90, DBP <60
65 - age >65 years

Score 1-2 = moderate pneumonia
Score 3 or more = severe pneumoniae

Question 6

What are the risk factors for developing a hospital acquired pneumonia?

Answer 6

Intubation and ventilation
Aspiration
Acid suppressing drugs
Decreased consciousness
Chest / upper abdominal surgery

Question 7

What are the potential complications of pneumonia?

Answer 7

Sepsis
ARDS
Heart failure
ACS
Abscess
Pleural effusion
Empyema
PE
Pneumothorax

Question 8

What antibiotic therapy would be given first line for a CAP?

Answer 8

Non-severe CAP - oral amoxicillin

Severe CAP - IV amoxicillin + oral/IV clarithromycin

Question 9

What antibiotic therapy would be given first line for a HAP?

Answer 9

Non-severe HAP - oral doxycyline
Severe HAP - IV gentamicin and IV co-trimoxazole
Aspiration HAP - IV amoxicillin