Upper/Lower Respiratory Tract Infections Flashcards
1
Q
Community Acquired Pneumonia
A
-No exposure to the healthcare system
2
Q
Hospital Acquired Pneumonia
A
- Not incubating at the time of hospital admission and occurring 48 hours or more after admission
- Could also include patients coming from the community who have received IV abx within 90 of admission
3
Q
Ventilator Associated Pneumonia
A
Occurring > 48 hours after endotracheal intubation
4
Q
Outpatient treatment of CAP
A
Previously healthy + no risk for resistance:
- PO Amoxicillin
- PO Doxy (if B-lactam allergy)
- PO macrolide (azithro)
- Comorbidities:
- PO Amoxicillin/clav or cephalosporin plus macrolide
- PO respiratory quinolone
5
Q
Inpatient treatment of CAP
A
- Non severe: IV b-lactam plus macrolide or respiratory FQ
- Severe: IV b-lactam plus macrolide or IV b-lactam plus respiratory FQ
- Give treatment longer in severe
6
Q
Duration of abx for CAP
A
- Minimum of 5 days be could go a week
- Should be afebrile for 48-72 hours
7
Q
When to switch from IV to PO
A
- Must be hemodynamically stable and improving clinically
- Able to tolerate PO medications
- Have normally functioning GI tract
8
Q
Legionella
A
-Levofloxacin IV for 10-21 days
9
Q
HAP empiric treatment
A
- ceftriaxone
- levo, moxi
- ampicillin/sulbactam
10
Q
Pseudomonas recommendations
A
- Pip/tazo
- Cefepime
- Ceftazidine
11
Q
Duration of abx
A
-7 days for VAP and HAP
12
Q
HAP/VAP Treatment
A
- Cover for MRSA (vano or linezolid)
- PsA agent (cefeoime, pip/tazo
- de-escalate
13
Q
Sinusitis
A
- Inflammation and or infection of the mucosal lining of the nasal passage and paranasal sinuses
- Usually viral
14
Q
Sinusitis treatment
A
- Viral: decongestants, irrigation, mucolytics
- Bacterial: no decongestants or antihistamines
- Corticosteroids:
15
Q
When are abx used for sinusitis
A
- Persistent symptoms >/ = 10 days w/o improvement
- Severe symptoms >/ = 3-4 days at the beginning of the illness
- Worsening symptoms after a typical upper respiratory infection
