Pneumonia Flashcards
Aetiology
Viral most commonly Bacterial cause: Neonates–>GBS, E. coli, Listeria 1-3 months–>S. aureus, H influenza, S pneumonia, B. pertussis 3mo-5 years–>Similar + GAS >5 years–>S pneumonia, H Influenza, S aureus
Aetiology
Viral most commonly Bacterial cause: Neonates–>GBS, E. coli, Listeria 1-3 months–>S. aureus, H influenza, S pneumonia, B. pertussis 3mo-5 years–>Similar + GAS >5 years–>S pneumonia, H Influenza, S aureus
Atypical bacterial causes
Mycoplasma Chlamydia trachomatis TB Legionella pneumophilia
Most common pathogen >5, typical symptoms
Mycoplasma pneumonia Symptoms of systemic, unwell, headache before cough Cough prominent, crackles, focal signs in chest
Clinical features
TachyP Fever Cough Respiratory distress CXR
What are young infants with severe disease at risk of
SIADH Monitor sodium and fluids
Management
- Decision to admit 2. Initial ABC assessment->well/unwell, breathing/oxygenation, perfusion, LOC 3. Pleural effusion 4. CXR 5. Clinical picture of mycoplasma? 6. Improvement in 24 hours
When to consider home management
>3 months, well, no extensive consolidation/pleural effusion Amoxycillin PO 7 days Roxithromycin 10 days if treating mycoplasma
When to admit to hospital
If improvement after 24 hours, discharge plans
Amoxycillin PO 7 days Early medical review Formal f/u 6 weeks Routine CXR not required
Clinical picture of mycoplasma
Age >5 years Subacute Prominent cough +/- Cough +/- Sore throat
Atypical bacterial causes
Mycoplasma Chlamydia trachomatis TB Legionella pneumophilia
Most common pathogen >5, typical symptoms
Mycoplasma pneumonia Symptoms of systemic, unwell, headache before cough Cough prominent, crackles, focal signs in chest
Clinical features
TachyP Fever Cough Respiratory distress CXR
What are young infants with severe disease at risk of
SIADH Monitor sodium and fluids
