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Pneumology

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Question:

What is the treatment for pneumonia?

Author: H K



Answer:

First Abx dose is <4 hours - least possible time to get the dose (depends on severity of condition) Macrolide if resistance <20 percent , if >25 beta lactam w/ macrolide or doxycyclin/ only give fluoroquinolone (if no suspicion of MRSA or pseudomonas If pseudomonas sus (antipseudomonas beta lactam and quinolone ICU pt both beta lactam and fluorquinolone for 5-7 days and stop when pt is afebrile and improving for 2 days Chest radiography required after 4-6 weeks for pt >50 years smokers


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H K
H K