Pneumonia
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Created by:
neilparikh on April 24, 2012
Description:
silverblatt
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11 terms
Terms | Definitions |
|---|---|
 mucociliary elevator | The ciliated mucus lining of the trachea, bronchi, and bronchioles that sweeps foreign particles up and away from the lungs. |
| alveolar macrophage | waiting in lungs to ingest and kill organisms |
| Routes of Spread of bacteria | 1) asipration of oropharyngeal secretions (Streptococcus Pneumoniae) 2) inhalation of droplets (TB) 3) hematogenous (Staph Aureus) |
| sneezing or coughing | release refined food particles--evaporate quickly but last about 3 feet from the person who was coughing |
| which bacteria often cause abscesses in the lung? | Staph Aureus, gram - rods; -see an air-fluid level |
| causes of Community associated pneumonia? | 1) s. pneumoniae (45%) 2) viral - 12.5% |
| Treatments | CAP: if no comorbidities, treat outpatient; usually is: S. pneumoniae or H. influenzae or viral; all treated with macrolides (eg azithromycin) or Respiratory Fq (levofloxacin/doxycycline) |
| CAP WITH comorbidities | treat at outpatient could be S. pneumoniae, H. influenzae PLUS S. aureus, anaerobes, coliforms Treat with: Respiratory Fq or Amox+clav + macrolide |
| Hospitalized | Resp FQ alone or macrolide (azithromycin) + 3rd gen cephalosporin (eg ceftriaxone) |
| Hospitalized in ICU | could be...S. pneumo, Legionella, Coliforms, Pseudomonas (ventilated) Treat with WIDE SPECTRUM: Imipenem, meropenem, or Pip/tazo + aminoglycoside (streptomycin, gentamycin, etc.) |
| prevention | Give @ risk population (>65, or immunocomrpomised)-- 1) pneumovax - 23 strain vaccine 2) protein form for children |
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