T4 L11: Clinical consequences of respiratory infections

Question 1

What is CURB65 used for and what does it stand for?

Answer 1

Used to assess severity of pneumonia. It stand for Confusion, [Urea] in blood, Respiratory rate (is it raised?), Blood pressure, and aged >65

Question 2

What antibiotic would be used for community acquired pneumonia?

Answer 2

Beta lactam antibiotic (amoxicillin) or Doxycycline

Question 3

What antibiotic would be used to treat not severe hospital acquired pneumonia?

Answer 3

Amoxicillin with Doxycycline or just Doxycycline

Question 4

What antibiotic would be used to treat severe hospital acquired pneumonia?

Answer 4

Amoxicillin and temocillin or Ceftriaxone/Levofloxacin

Question 5

in individuals aged 18-60, how long does it take for 95% of pneumonia to be cleared?

Answer 5

6 weeks

Question 6

What factors slow down clearance of pneumonia?

Answer 6

Comorbidities, bacteraemia, multilobe involvement, or gram-negative bacilli pneumonia

Question 7

What does CPAP stand for?

Answer 7

Continuous positive airway pressure

Question 8

If all other forms of oxygenation fail, what can be concidered?

Answer 8

ECMO (Extracorporeal membrane oxygenation)

Question 9

What is pleural parapneumonic effusion?

Answer 9

The accumulation of exudative pleural fluid (fluid that has leaked out of vessels)

Question 10

When would a pneumocystis jiroveci infection occur?

Answer 10

Only in the immunosuppressed