pulmonary emergency section 8

Question 1

Diagnostic criteria for empyema

Answer 1

1 aspiration of purulent material
2 Positive gram stain, or culture
3 pleural fluid glucose 1000 IU/L

Question 2

empyema antibiotics

Answer 2

piperacillin-tazobactam 3.76-4.5gm q 6 OR
Imipenem 0.5 -1 gram IV every 6 hours

MRSA add vancomycin.

Question 3

MCC Lung abscess

Answer 3

Aspiration pneumonia

Question 4

MC isolates of lung abscess

Answer 4

Anaerobic bacteria

Question 5

MC isolates of immunocompromised

Answer 5

Aerobic bacteria