ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
which is the most common organism?
is it pneumococci or klebsiella, as empirical antibiotic treament would be different for both!
___________________
life is guud
|
| star1
Forum Guru
Topics: 93
Posts: 827
|
KLEBSIELLA PNEUMONIAE.........Typical Pneumonia in individuals with alcoholism and elderly patient in nursing homes. Treat with ?????
PNEUMOCOCCAL PNEUMONAE..... Community acquired , older age, splenic dysfunction, AIDS
treat with Panicillin G
|
| chemamr
Forum Hero
Topics: 703
Posts: 4,461
|
agree with star1 
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,511
|
in step 1 pen g was supposed to be given for strep pneumo. but step 2 books rely more on Vanco ( as there is even resistence to ceftriaxone ) for empriic therpay
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,511
|
Risk factors:
1)For penicillin-resistant S. pneumoniae:
Previous use (within 3 months)of -lactam antibiotics,
alcoholism, age <5 years or >65 years,
and (in some areas)residence in a nursing home.
hence empiric therapy fo rthese pts is not penicillin.
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,511
|
when resistence is suspected a third generation cephalosproin or FQ ( with enhanced activity against strep eg levofloxacin) is given. if severe, vanco may be given
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| star1
Forum Guru
Topics: 93
Posts: 827
|
Well it mean we have to consider every patient having resistant pneumococcus so shuld give CS or FQ to all patient and not use panicillin ?
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,511
|
well in the pts with the risk factors listed we dont give penicillin. otherwise in a low risk out patient with CAP it might be considered.
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,174
|
guys, klebsiella is the most common wrong answer for ' what is the most comon org causing pneumonia in the alcoholic'
the answer remains strep for all adults in community acquired pneumonia, be it an alchoholic, elderly, diabetic, hiv,etc
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
are u sure tolito???? this thing has always bugged me!
___________________
life is guud
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,174
|
that is what kaplan says!!!
thing is klebsiella is most common among alcoholics but the most common org overall in alcoholics remains streps.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
tolito wrote:
that is what kaplan says!!!
thing is klebsiella is most common among alcoholics but the most common org overall in alcoholics remains streps.
lolz, now tht clearfies everything! thanks
___________________
life is guud
|
| chemamr
Forum Hero
Topics: 703
Posts: 4,461
|
good point, thanks
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
|
| |
| | | | | | | | | | | | | |
