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What is Pneumonia? Community-Acquired Pneumonia (CAP) vs. Hospital-Acquired Pneumonia (HAP) Public Health Perspective
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11/28/12
Streptococcus pneumoniae Mycoplasma pneumoniae Chlamydophila pneumoniae Respiratory viruses Legionella pneumophilia Hemophilus influenza Moraxella catarhalis
Less Common Pathogens Enteric Gram negative bacilli Pseudomonas aeruginosa Staphylococcus aureus Streptococcus pneumonaie other Strep sp. Hemophilus influenza Acinetobacter sp. Stenotrophomonas Legionella pneumophilia Influenza Candida sp.
Diagnosis Cough Fever CXR infiltrate Precise role for microbiologic cultures is unclear. Empiric Treatment(s) Respiratory Fluoroquinolone (R-FQ) Macrolides Beta-lactams Prevention Influenza vaccination Pneumococcal vaccination Smoking cessation Treat comorbities Avoid invasive mechanical ventilation Infection control measures Elevate head-of-bed Subglottic suctioning Oral / pharyngeal decontamination Maintain gastric acidity anti-Pseudomonal beta-lactams anti-Pseudomonal fluoroquinolones Aminoglycosides Vancomycin or Linezolid Clinical features are unreliable (fever, leukocytosis, new CXR infiltrate) Bronchoalveolar lavage (BAL) or Protected specimen brush (PSB) with quantitative cultures Suctioned / expectorated sputum Serial CXRs or chest CT scanning
The Ohio State University | College of Medicine Division of Pulmonary, Allergy, Critical Care & Sleep Medicine
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