BCPS - Infectious Disease QUESTIONS & ANSWERS(GRADED A)
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Course
BCPS
Institution
BCPS
What are the criteria for community acquired pneumonia? - ANSWER Cannot have any of the following criteria:
2 or more hospitalizations in the last 90 days
Residence in a long-term care facility
Receipt of IV antibiotic therapy in last 30 days
Receipt of chemotherapy in last 30 days
Receipt of ...
BCPS - Infectious Disease QUESTIONS &
ANSWERS(GRADED A)
What are the criteria for community acquired pneumonia? - ANSWER Cannot have
any of the following criteria:
2 or more hospitalizations in the last 90 days
Residence in a long-term care facility
Receipt of IV antibiotic therapy in last 30 days
Receipt of chemotherapy in last 30 days
Receipt of wound care in the last 30 days
Attendance at a hospital or hemodialysis clinic
What two severity of illness scoring systems exist for CAP? - ANSWER CURB-65
and Pneumonia Severity Index (PSI)
Describe CURB 65 and how it directs therapy - ANSWER C - confusion = 1 point
U - Urea > 7 = 1 point
R - Respiratory Rare = 1 point
B - SBP < 90 OR DBP < 60 = 1 point
65 - Agre 65 or above = 1 point
0-1 pt = Outpatient; 2 pts = In/Outpatient;3 pts = Inpatient; 4-5 pts = Inpatient +/-
ICU;
CURB 65 versus PSI - ANSWER Both assess risk of mortality, but PSI more accurate
at lower mortality risk
, Definition of HAP - ANSWER Pneumonia that arises more than 48-72 hours after
time of admission
Definition of VAP - ANSWER Pneumonia that arises more than 48-72 hours after
endotracheal intubation
Definition of health-care associated pneumonia - ANSWER Pneumonia developing
in any of the criteria that discount CAP
Compare the microbiology of CAP versus HAP - ANSWER Order of prevalence
CAP = Strep pneumoniae, Mycoplasma pneumoniae, H. Influenzae, Chlamydia
Pneumoniae, Legionella Pneumophila
HAP = Staph Aureus, Pseudomonas aeruginosa, Enterobacter spp., Klebsiella
pneumoniae, Candida spp., Acinetobacter spp, Serratia marcescens, E. Coli
Describe how CAP is treated - ANSWER Duration at least 5 days
Empiric Treatment of non-hospitalized patients
- Previously health/no prior antibiotic therapy in last 3 months =
(a) macrolide (clarithro or azithro)
(b) doxycyline
- Comorbidities or recent antibiotics =
(a) Respiratory fluoroquinolone (moxi, gemi, levo)
(b) Macrolide or Doxy with high dose amoxicillin, augmentin or cephalosporin
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