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Old 09-16-2013
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Lungs Total Pneumonia Confusion

Ok so this is a little confusing

Mcc of pneumonia overall is Strep pneumonia but I was doing u world and that said that in hospital or nursing homes mcc is staph aureus. So, the next time I did a question again with a nursing home pt n picked staph aureus it was wrong n it said step pneumonia is the mcc of pneumonia in nursing home. So, now which is it?
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Old 09-16-2013
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thank u for initiating a discussion on pneumonia
I am struggling too much in this topic.

I think it depends on timing.


See, if ur patient develop pneumonia withinin 48 hrs of admission, it is still strep pneumonia

now, my question is what is the best initial treatment for pnumococcal pneumonia when I know the organism for sure
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Old 09-16-2013
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Quote:
Originally Posted by polok15 View Post
thank u for initiating a discussion on pneumonia
I am struggling too much in this topic.

I think it depends on timing.


See, if ur patient develop pneumonia withinin 48 hrs of admission, it is still strep pneumonia

now, my question is what is the best initial treatment for pnumococcal pneumonia when I know the organism for sure
It depends on what you mean by 'know the organism for sure'. If you know it from a culture you treat it based on sensitivity of course. But without a culture you can never know for sure. Its just most likely. And you don't treat infections based on 'most likely organism' when it comes to pneumonia because you have many organisms that can cause the infection! So stick with what MTB says, ie, outpatient macrolide or respiratory fluoroquinolone or in patient respiratory fluoroquinolone or ceftriaxone+azithromycin combo.
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Old 09-17-2013
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Quote:
Originally Posted by rohit39 View Post
It depends on what you mean by 'know the organism for sure'. If you know it from a culture you treat it based on sensitivity of course. But without a culture you can never know for sure. Its just most likely. And you don't treat infections based on 'most likely organism' when it comes to pneumonia because you have many organisms that can cause the infection! So stick with what MTB says, ie, outpatient macrolide or respiratory fluoroquinolone or in patient respiratory fluoroquinolone or ceftriaxone+azithromycin combo.
the q says pnumococcal pneumonia and it was penicillin insensitive

ceftriaxone was the answer but in explanation it says, if it is penicillin sensitive use ampicillin +sulbactam

My understanding is when u do empiric therapy use cef+azithro due to resistance . But, in sensitive caes use ampicilin +sulbactam

correct if I am wrong.

my worry is , do they usually give q where more than one drug seem possible.
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