pneumonia flow charts Flashcards
CB and/or COPD
H. influenzae Moraxella spp. S. pneumoniae rarely C. pneumoniae S. aureau Gram (-) rods Also viral agents: Influenza virus
Viral RT
S. pneumoniae
H. influenzae
S. aureus
CF
H. influenzae S. aureus
P. aeruginosa B. cepacia
Asplenics, B cell defects: Multiple myeloma, Hodgkin’s Dx.
S. pneumoniae
K. pneumoniae
HIV and other immunecomps
S. pneumoniae H. influenzae MTB P. carinii Atypical mycobacteria CMV Cryptococcus spp. Legionella spp. Aspergillus
Cancer/neutropenia
Nocardia
Gram (-) rods (P. aeruginosa) Aspergillus
DKA
S. pneumoniae S. aureus
Exposed to Birds Abattoir/Poultry Worker; Farmer, Veterinarian; Pet/ Pet store worker
Chlamydia psittaci
Abattoir/Poultry Worker; Farmer, Veterinarian; Pets Pet store worker – Exposure to parturient cat, cattle sheep goats
Brucella spp., Coxiella burnetii
Wool sorters, Animal hide workers
B. anthracis
Bats, Bird droppings/ Rabbits
H. capsulatum/ F. tularensis
Rodents &/or their droppings/ secretions
Hantavirus NW arenavirus
elderly
S. pneumoniae H. influenzae P. aeruginosa K. pneumoniae Other G(-)rods C. pneumonia
young
RSV, hMPV, HPIV Influenzavirus Adenovirus
tropics/SE asia
B. pseudomallei
midwest
H. capsulatum
B. dermatitis
SW US
C. immitis
aerosolized water
Legionella spp.
IV abuse
S. pneumoniae
S. aureus
MTB
Anaerobes
Closed populations- Military camp/ College campus
S. pneumoniae
C. pneumoniae
M. pneumoniae
Adenovirus RSV, hMPV, Influenzaevirus
Alcoholics Homeless Poor
S. pneumoniae K. pneumoniae Other G(-)rods MTB Anaerobes A. israelii
nursing home
S. pneumoniae H. influenzaes M. catarrhalis
VAP
EARLY S. aureus S. pneumoniae H. influenzae LATE P. aeruginosa Acinetobacter G (-) rods
UTI &/or CVC–>Bacteremia (HAP)
S. epidermidis
S. aureus
G (-) rods
Closed populations e.g., Nursing homes, Chronic care facilities (HAP)
S. pneumoniae S. aureus H. influenzae Other G (-) rods Agents of viral pneumonia C. pneumoniae M. pneumoniae Anaerobes
SCD, asplenics (HAP)
S. pneumoniae
K. pneumonia
HIV, other immuncomp (HAP)
S. pneumoniae
P. carinii
MTB
Atypical mycobacteria CMV Cryptococcus spp. Legionella spp. Aspergillus
cancer/neutropenia (HAP)
Nocardia
Gram (-) rods,
especially
P. aeruginosa Aspergillus
aspiration pneumonitis (HAP)
K. pneumoniae
Other G(-)rods
Anaerobes
pt. manifests with viral pharyngitis–>interstitial pneumo
adenovirus
pt. manifests w. viral croup–>interstitial pneumo
PIV
pt. manifests w. viral bronchiolitis–>interstitial pneumo (or dev. simultaneously)
RSV or hMPV
pt. manifests w. influenza–>interstitial pneumo
influenza