tto neumonía

Question 1

Paciente que no ha recibido tratamiento en los ultimos 3 meses y ni reside en un lugar donde el macrolido no tiene resistencias

Answer 1

Macrolido: Azitromicina 500 mg once daily for 3 days

Question 2

Intra hospitalario:

Answer 2

2da-3ra generacion de cefalosporinas CEFTRIAZONA, CEFOTAXIME, CEFUROXIME + macrolido (AZITROMICINA O CLARITROMICINA o doxiciclina

Question 3

UCI

Answer 3

betalactamicos (Ampisulba, cefotaximE)+ Quinolona (Levofloxacina, moxifloxacina)

Question 4

Riesgo de Pseudomonas intrahospitalario:

Answer 4

Meropenem, Doripenem, Imimpenem, Pipertazo + (Aminoglicosido opcional)

Question 5

Intrahospitalario con riesgo de SARM

Answer 5

Vancomicina/Linezolid

Question 6

CURB 65

Answer 6

Confusion, 
BUN >19.6mg/dl, 
Respiratoryrate>30breaths/min,
systolic BP <90 mg Hg, and diastolic BP ≤60 mm Hg, 
age ≥65. 

***Patients are generally
admitted to the hospital if they fulfill 2 or more criteria and to the ICU if they have 3 or more criteria

Question 7

LABS

Answer 7

1. Hemograma
2. Cultivo de sangre
3. bun, creatinina
4. pulsioximetria

Question 8

RIESGO DE SARM

Answer 8

1. Age 19-29 or >79 years
   2.Nursing home, skilled nursing facility, or long term acute care exposure
   Within 90 days
2. Prior IV antibiotic therapy
   Within 30 days
3. Hospitalization for ≥2 days
   Within 90 days
4. ICU admission
   On or before index culture

5.Any cerebrovascular disease
Prior to admission

6. Dementia
7. Female with diabetes mellitu

Question 9

DOSIS DE LA CEFTRIAXONA

Answer 9

1 g once daily is sufficient for most hemodynamically stable hospitalized patients with CAP (Segev 1995);
for critically ill patients, some experts favor the 2 g dose (File 2019). Total duration (which may include oral step-down therapy) is for a minimum of 5 days and varies based on disease severity and response to therapy; patients should be afebrile for ≥48 hours and clinically

Question 10

DOSIS DE UCI AMPISULBA +

Answer 10

AMPISULBA: IV: 1.5 to 3 g every 6 hours for ≥5 days (Geckle
moxiflo: Oral, IV: 400 mg every 24 hours

Question 11

DOSIS DE MEROPENEM

Answer 11

IV: 1 g every 8 hours (ATS/IDSA 2005)

Question 12

DOSIS DE VANCOMICINA

Answer 12

15 to 20 mg/kg/dose (usual maximum: 2 g/dose initially) every 8 to 12 hours min 7 dias

Question 13

Dosis de la moxifloxacina

Answer 13

400 mg/24h por 5 diaz