RTIs Flashcards
Abx For mild CAP (CURB 0-1)
Amoxicillin PO 5d; or if penicillin-allergic - erythromycin/clarithromycin 5d PO
Abx For moderate CAP (CURB 2)
Amoxicillin PO + Clarithromycin PO 7-10d , consider admission
Abx For severe CAP (CURB 3-5)
Co-amoxiclav IV + Clarithromycin IV; admit and consider ITU
Abx For HAP (1st line and severe)
1st line: vancomycin + ciprofloxacin
If severe: vancomycin + tazocin
Abx For Aspiration Pneumonia
Tazocin + metronidazole
Microscopic features of Strep Pneumoniae
+ve diplococci, alpha-haemolytic
Microscopic features of Haem influenzae
Gram -ve cocco-bacilli
Microscopic features of Moraxella catarrhalis
-ve diplococci
Microscopic features of Staph aureus
+ve cocci in grape-bunch clusters
Microscopic features of Klebsiella Pneumoniae
-ve rod, enterobacter
Rusty-coloured sputum, Lobar CXR
Strep pneumoniae
Pneumonia - alcoholics, upper lobe cavitating lesion, DM, elderly
Klebsiella pneumonia
Pneumonia in birdkeepers
Chlamydia psittaci (culture)
Pneumonia in young peple, dry cough, arthralgia, erythema multiforme (SJS)
Mycoplasma pneumoniae - Tetracycline or macrolide
Infected water, hypoNa, hepatitis, abdo pain, confusion
Legionella pneumophilia (urine antigen or culture)