Pneumonia Flashcards
Most common cause of PNA
Strep pneumo
young adults
Mycoplasma
COPD, DM
H. influenza, M. catarrhalis
Cool damp places, water coolers
Legionella
nosocomial, NEUTROPENICS
Pseudomonas
alcoholics, nursing home residents
Klebsiella (posterior, lingular UPPER lobe)
cavities, lung abscess
mixed flora
severe necrotizing PNA. Post influenza PNA
S. aureus
what is a good sputum sample?
<10 epithelial cells and >25 WBCs
how to diagnose Bordetella pertussis?
sputum PCR for Bordetella
In patients with community-acquired pneumonia and risk factors for Pseudomonas aeruginosa infection, what treatment is recommended?
dual therapy with antipseudomonal, antipneumococcal β-lactam, or an antipseudomonal carbapenem, and antipseudomonal quinolone agents is recommended for initial empiric therapy. Example - cefepime + cipro