What is the most common organism for CAP?
streptococcus pneumoniae
what are the causative organisms for CAP
-streptococcus pneumoniae
-atypical bacteria (mycoplasma pneumoniae): older and young adults
-viruses (RSV, influenza)
smoker type of aquired CAP
H. influenzae
Cystic fibrosis acquired CAP
pseudomonas aerguinosa
immunocompromised CAP
pneumocystitis carini
first line of treatment for CAP healthy adults
amoxicillin (PCN), doxycycline, azithromycin
what to give second if first line tx for pneumonia did not work?
Levaquin (fluoroquinolone)
treatment for M.Pneumoniae in pediatric patient
macrolide, azithromycin, erythromycin
Treatment of CAP in pregnancy
macrolide, PCN, cephalosporin, erythromycin
-AVOID tetracycline
If someone has been treated with antibiotic for CAP in last 90 days, what class of
medication would be best
floxacin (fluoroquinolone)
chlamydial pneumonia in infant
erythromycin 12.5mg/kg PO QID x 14 days
broad spectrum
active against wide variety of microbes
-gram + cocci and gram - bacilli
narrow spectrum
active against only a few species of specific microorganisms
- gram + cocci, gram - bacilli, gram - aerobes, mycobacterium TB
empiric antibiotics
ciprofloxacin, TMP/SMZ, amoxicillin
-severe infections that may need tx prior to knowing test results
-tx is based on eval and knowledge of microbes that are most likely causing the
infection
c. diff associated diarrhea
STOP prior abx and start vancomycin or fidaxomicin
drug class known for all drugs in class to promote c. diff
bacteriostatic inhibitors
what class of medications has a cross sensitivity to PCN
cephalosproins
Is PCN safe in pregnancy
streptococcus pneumoniae
what are the causative organisms for CAP
-streptococcus pneumoniae
-atypical bacteria (mycoplasma pneumoniae): older and young adults
-viruses (RSV, influenza)
smoker type of aquired CAP
H. influenzae
Cystic fibrosis acquired CAP
pseudomonas aerguinosa
immunocompromised CAP
pneumocystitis carini
first line of treatment for CAP healthy adults
amoxicillin (PCN), doxycycline, azithromycin
what to give second if first line tx for pneumonia did not work?
Levaquin (fluoroquinolone)
treatment for M.Pneumoniae in pediatric patient
macrolide, azithromycin, erythromycin
Treatment of CAP in pregnancy
macrolide, PCN, cephalosporin, erythromycin
-AVOID tetracycline
If someone has been treated with antibiotic for CAP in last 90 days, what class of
medication would be best
floxacin (fluoroquinolone)
chlamydial pneumonia in infant
erythromycin 12.5mg/kg PO QID x 14 days
broad spectrum
active against wide variety of microbes
-gram + cocci and gram - bacilli
narrow spectrum
active against only a few species of specific microorganisms
- gram + cocci, gram - bacilli, gram - aerobes, mycobacterium TB
empiric antibiotics
ciprofloxacin, TMP/SMZ, amoxicillin
-severe infections that may need tx prior to knowing test results
-tx is based on eval and knowledge of microbes that are most likely causing the
infection
c. diff associated diarrhea
STOP prior abx and start vancomycin or fidaxomicin
drug class known for all drugs in class to promote c. diff
bacteriostatic inhibitors
what class of medications has a cross sensitivity to PCN
cephalosproins
Is PCN safe in pregnancy
