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FNP~CAP

Community Acquired Pneumonia

QuestionAnswer
2/3 of most cases of CAP are caused by this pathogen... S. Pneumaoniae is responsible for how many cases of CAP
These pathogens is NOT revealed by Gram stain (secondary to NO true cell wall)... M. pneumoniae and C. pneumoinia
This pathogen is seen as Gram (+) diplococci... S. pneumoniae appears as this
This pathogen is seen as Gram (-) bacillus... H. inluenzae appears as this
This pathogen is not revealed by a gram stain (secondary to NO true cell wall)... Leionella sp.
Effective antimicrobials against Legionella sp., M. pneumoniae, C.pneumoniae are... Macrolide, resp fluoriquinolones, TCN, doxy
Inefective antimicrobials against Legionella sp., M. pneumoniae, C. pneumonia eare... Beta-lactams (cephaolosporins, PCN)
DRSP factors regarding treatment... recent tx within 3 months~age =>65~exposure to being in a daycare~ETOH abuse~comorbidities~immunosuppressivet therapy or illness
Effective antimicrobials for non-resistant S. pneumoniae... Macrolides (azithro, clarithro, EES), standard dose of amox, selet cephalosporins, TCN including doxy
Preferred entimicrobials for DRSP... High dose amox, resp fluoroquinolones (moxi-, levo-, gemifloxacin-)
Pathogen is most commonly related to tobacco use... H. influenzae
Most common cause of CAP... S. pneumoniae
Largely cough transmitted (closed community) M. pneumoniae, C. pneumoniae
Usually contracted by mist or aspirating liquid... Legionella sp.
Recommended tx, previously healthy, no abx in 3 months... Strong recommmendation...Macrolide, weak recommendation...Doxy
Recommended tx w/ comorbidities or abx in past 3 months... Resp fluoroquinolone (Levaquin)-or-advanced macrolide plus HD amox (Augmentin), Rocephin, Vantin, Ceftin; Alternate to macrolide...doxy
Created by: KimmiNP
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