Pneumonia

Question 1

Speciment collection in suspected pneumonia

Answer 1

• Deep sputum, not saliva or mucus
• Viral infections are recognised by genome detection

Question 2

Gram-stained smears with capuslate diplococci indicate

Answer 2

Pneumococal pneumonia

Question 3

Microbials that require special test for pneumonia

Answer 3

Legionella and Mycoplasma -pneumonia are difficult to grow

use serological and antigens detection instead

Question 4

Treatment fro community-acquired pneumonia

Answer 4

• Empirically: Benzylpenicillin and axoycillin
  
  • Erythromycin included for extra cover(legionella, mycoplasma)
• Chronic bronchitis
  
  • Doxycycline, amoxycillin

Question 5

Treatment for sever pneumonia

Answer 5

• S. aureu: flucloxacillin
• S. pneumonia: benzylpenicillin