pneumonia Flashcards
mc cause CAP
strep pneumoniae
mc cause CAP in underlying lung disease
H influenzae
MC cause walking/atypical pneumonia
mycoplasma pneumoniae
pneumonia in contaminated water, AC units, etc
legionella
MC pneumonia in ETOH, severely ill
klebsiella pneumonia
MC pneumonia in immunocompromised
including bronchiectasis and CF
pseudomonas aeruginosa
what are typical pneumonia pathogens
strep pneumo
h influenzae
klebsiella
staph aureus
what are atypical pneumonia pathogens
mycoplasma
chlamydia
legionella
viruses
what is the mc pneumonia cause in a baby
rsv/parainfluenza
what is the mc viral pneumonia cause in an adult
influenza
pneumonia caused by bird/bat droppings in mississippi and ohio river valley areas
histoplasmosis
pneumonia caused by something found in soil in southwest US/desert areas
coccidiodes
currant jelly sputum
klebsiella
rusty/blood tinged sputum
strep pneumonia
foul sputum
anaerobes (MC aspiration)
mgmt for CAP outpatient
macrolide or doxy
mgmt for CAP inpatient
macrolide + B lactam or doxy + B lactam or broad spectrum FQ
mgmt for CAP in ICU
macrolide + B lactam
or
broad spectrum FQ + B lactam
mgmt for HAP
anti-pseudomonal B lactam + anti-pseudomonal FQ
or
anti-pseudomonal B lactam + anti-pseudomonal AG
if theres a penicillin allergy whats a good alternative to a B lactam
clindamycin
ceftriaxone
cefotaxime
unasyn
are all examples of
b lactams
cefepime imipenem meropenem zosyn piperacillin are all examples of
anti-pseudomonal b lactams
if you suspect mrsa make sure you add ___
vanco
which pneumonia vax is given in childhood
and if you’re an overachiever when is it given
PCV13
2mo, 4mo, 6mo, then after 4y
which pneumonia vax is given to adults
PPV23
when is PPV23 indicated and how often do you give it
65+
2-64 with comorbid diseases
update q5y
