BCPS - Infectious Disease QUESTIONS & ANSWERS(GRADED A)
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Module
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 ...
what are the criteria for community acquired pneum
what two severity of illness scoring systems exist
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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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