Pneumonia Flashcards
What is the most likely strain of typical pneumonia?
Strep pneumoniae
What are the two other community acquired typical pneumonia strains?
H. Influenzae
Mycoplasma pneumoniae
What is atypical pneumonia strain picked up from fresh water and air con
Legionella pnuemophilia - so think about people coming back from holiday
What atypical pneumonia is associated with CAD?
Chlamydia pneumoniae
What strain is associated with birds
Chlamydia psittaci
What strain is associated with cows, sheep or goats?
Coxiella Burnetti
What stain is associate with COPD?
Moraxella catarrhalis
What strains are influenzas etc associated with
Viruses
What are some nosocomial (hospital acquired) strains?
Enetrobacteria
S. Aureus
Psudomonas aerigunosa
Klebsiella pneumoniaa
What is the risk of death for CURB-65 scores?
0-1 < 3% - Community
2 - 9% - hospital
3-5 - 15-40% - ITU
What are the treatments for CURB 0-1
Amoxicillin 5 days
Penicillin allergy - Clarithromycin or doxycycline
Wha is the treatment for CURB 2
Amoxicillin + clarithromycin 5-7days hospital
Penicillin allergy - Levofloxacin
CURB 3-5 treatment
ITU
Co-amoxiclav + clarithromycin 7- 10 days
Penicillin allergy- levofloxacin or co-trimoxazole
What is pneumocystis jirovecii usually seen in
Commonly in immunocompromised like HIV
Presents with - SOB, cough and fever as well as exercise-induced desaturation
