#Pneumonia 👾🦠
- Community-Acquired Pneumonia(CAP):
Acute infection of the pulmonary parenchyma, accompanied by an acute infiltrate consis- tent with pneumonia on chest radiograph or auscultatory findings.
#infectious_diseases
#SPLE
#صيدلة
- Community-Acquired Pneumonia(CAP):
Acute infection of the pulmonary parenchyma, accompanied by an acute infiltrate consis- tent with pneumonia on chest radiograph or auscultatory findings.
#infectious_diseases
#SPLE
#صيدلة
Patients must also not have any of the following characteristics: hospitalization (including a current hospitalization) of 2 days or more in the past 90 days.
residence in a long-term care facility; receipt of intravenous antibiotic therapy, chemo- therapy, or wound care in the past 30 days; or attendance at a hospital clinic or receipt of hemodialysis in the past 30 days.
#Pneumonia
#infectious_diseases
#Pneumonia
#infectious_diseases
طيب يا ترى وش ممكن تكون ال
Symptoms of CAP👾:❔⬇️
1️⃣ Fever or hypothermia.
2️⃣ Rigors.
3️⃣ Sweats.
4️⃣ New cough with or without sputum (90%).
5️⃣ Chest discomfort (50%).
6️⃣ Onset of dyspnea (66%).
7️⃣ Fatigue, myalgias, abdominal pain, anorexia, and headache.
#Pneumonia
#صيدلة
Symptoms of CAP👾:❔⬇️
1️⃣ Fever or hypothermia.
2️⃣ Rigors.
3️⃣ Sweats.
4️⃣ New cough with or without sputum (90%).
5️⃣ Chest discomfort (50%).
6️⃣ Onset of dyspnea (66%).
7️⃣ Fatigue, myalgias, abdominal pain, anorexia, and headache.
#Pneumonia
#صيدلة
طيب ايش الادوية المستخدمة في
#Pneumonia - CAP
a. Empiric treatment of nonhospitalized patients
- Previously healthy and no antibiotic therapy in the past 3 months:
#Pneumonia - CAP
a. Empiric treatment of nonhospitalized patients
- Previously healthy and no antibiotic therapy in the past 3 months:
1️⃣ Macrolide (clarithromycin or azithromycin if Haemophilus influenzae is suspected).
2️⃣ Doxycycline.
3️⃣ If local high-level macrolide resistance (minimum inhibitory concentration [MIC] of 16 mcg/mL or greater) exceeds 25%, use regimen from below.
#infectious_diseases
#صيدلة
2️⃣ Doxycycline.
3️⃣ If local high-level macrolide resistance (minimum inhibitory concentration [MIC] of 16 mcg/mL or greater) exceeds 25%, use regimen from below.
#infectious_diseases
#صيدلة
- Comorbidities (chronic obstructive pulmonary disease [COPD], diabetes mellitus, chronic renal or liver failure, congestive heart failure, malignancy, asplenia, or immunosuppression) or recent antibiotic therapy (within the past 3 months)⬇️⬇️:
1️⃣Respiratory fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin [750 mg])
2️⃣Macrolide (or doxycycline) with high-dose amoxicillin (1 g three times/day) or amoxicillin/clavulanate (2 g twice daily) or a cephalosporin (ceftriaxone,cefuroxime, or cefpodoxime).
#Pneumonia
2️⃣Macrolide (or doxycycline) with high-dose amoxicillin (1 g three times/day) or amoxicillin/clavulanate (2 g twice daily) or a cephalosporin (ceftriaxone,cefuroxime, or cefpodoxime).
#Pneumonia
- Empiric treatment of hospitalized patients with moderately severe pneumonia:
1️⃣Respiratory fluoroquinolone (moxifloxacin, gemifloxacin [oral only], or levofloxacin [750mg])
2️⃣Ampicillin, ceftriaxone, or cefotaxime (ertapenem in select patients) plus a macrolide(or doxycycline)
1️⃣Respiratory fluoroquinolone (moxifloxacin, gemifloxacin [oral only], or levofloxacin [750mg])
2️⃣Ampicillin, ceftriaxone, or cefotaxime (ertapenem in select patients) plus a macrolide(or doxycycline)
3️⃣ Corticosteroids (unknown optimal agent, dose, or duration) decrease risk of mechanical ventilation and acute respiratory distress syndrome and decrease hospital stay by about 1 day; greater incidence of hyperglycemia requiring treatment..
Typical doses are prednisone or methylprednisolone 20–50 mg daily for 7 days.
#Pneumonia
#infectious_diseases
#صيدلة
#Pneumonia
#infectious_diseases
#صيدلة
- Empiric treatment of hospitalized patients with severe pneumonia necessitating intensive care unit treatment (may need to add other antibiotics if Pseudomonas aeruginosa or methicillin-resistant S. aureus [MRSA] is suspected):⬇️🦠💊
1️⃣Ampicillin/sulbactam plus either a respiratory fluoroquinolone or azithromycin
2️⃣Ceftriaxone plus either a respiratory fluoroquinolone or azithromycin .
3️⃣Cefotaxime plus either a respiratory fluoroquinolone or azithromycin.
#Pneumonia
#infectious_diseases
2️⃣Ceftriaxone plus either a respiratory fluoroquinolone or azithromycin .
3️⃣Cefotaxime plus either a respiratory fluoroquinolone or azithromycin.
#Pneumonia
#infectious_diseases
- Treatment duration:💊⏱
At least 5 days, with 48–72 hours afebrile and no more than one sign of clinical instability (elevated temperature, heart rate, or respiratory rate; decreased systolic blood pressure; or arterial oxygen saturation) before therapy discontinuation.
#صيدلة
At least 5 days, with 48–72 hours afebrile and no more than one sign of clinical instability (elevated temperature, heart rate, or respiratory rate; decreased systolic blood pressure; or arterial oxygen saturation) before therapy discontinuation.
#صيدلة
Loading suggestions...