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pneumonia (aetiology (community-acquired (S. pneumoniae (80%) (rapid onset…
pneumonia
aetiology
aspiration
S.pneumoniae
S.aureus
H.infuenzae
Pseudomonas aeruginosa
community-acquired
S. pneumoniae (80%)
rapid onset
high fever
pleuritic chest pain
herpes labialis
H.influenzae
S.aureus (commonly after the flu)
atypical
mycoplasma pneumoniae
Rx with macrolide
legionella
travellers
Rx with macrolide
viruses
klebsiella (alcoholics)
treatment
low/moderate severity CAP
oral amoxicillin
macrolide added for pts admitted to hospital
high severity CAP
IV augmentin + clarithromycin
cefuroxime + clarithromycin
cefotaxime + clarithromycin
HAP
within 5/7 of admission
augmentin
cefuroxime
more than 5/7 after admission
piperacillin with tazobactam
ceftazidime
ciprofloxacin
prognosis
CURB-65
Confusion
Urea >7
RR > 30
BP systolic <90 diastolic < 60
Age >65
greater than or equal to 3 have severe pneumonia