Feb 15, 2023
Pneumonia is a common respiratory illness and a leading cause of morbidity and mortality worldwide, especially in young children and elderly individuals. It is a common presentation in clinical practice, and medical professionals need to be familiar with its management, including the use of antibiotics, and supportive care.
Read this blog for a quick overview of this important medicine topic for NEET PG/NExT exam Preparation.
Important information MC organism for acute bacterial meningitis in adult and pediatric population is Pneumococcus |
Also Read: Myocardial Infarction - Neet PG Medicine
Important information In covid -19 pneumonia HRCT shows ground glass opacities & D-Dimer increases. Confirmatory test for covid-19: RTPCR. Steroids used in both covid-19 and Pneumocystis Jiroveci causing interstitial pneumonia. |
Important Information Commonest cause of pneumonia in AIDS positive patient is Pneumococcus not Pneumocystis jivovecio |
Important information 1. Red currant Jelly stool in 9-month baby S/O intussusception 2. Multiple air fluid level in X-ray abdomen S/O Intestinal obstruction |
Clinical feature | Points |
Confusion (defined as a Mental Test Score of ≤8, or disorientation in person, place, or time ) | 1 |
Uremia: BUN >7 mmol/L ( ~19 mg / dL) | 1 |
Respiratory rate: ≥30 breaths / minute | 1 |
Blood pressure: systolic <90 mm Hg or diastolic ≤60 mm Hg | 1 |
Age ≥65 years | 1 |
Total points |
Treatment options based on CURB -65 Score | ||
Score | Group | Treatment Options |
0 | Group 1; mortality low (1.5%) | Low risk; consider home treatment |
1-2 | Group 2; mortality intermediate (9.2%) | Consider hospital-supervised treatment (either short – stay inpatient or hospital – supervised outpatient) |
3 | Group 3; mortality high (22%) | Manage in hospital as severe pneumonia; consider admission to |
Treatment strategy: C.A.P: outpatient | |
No comorbidity 1. Amoxicillin + macrolide/doxycycline 2. Doxycycline 3. Macrolide (if local prevalence of pneumococcal Resistance <25%) | Comorbidity or Rcvd A/b in lost 3 months 1. amoxicillin/Clavulanate+ macrolide or doxycycline 2. Levofloxacin, moxifloxacin, Gemifloxacin (light machine gcm Respiratory fluoroquinolones) |
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