Quick Answer: What Is Used As A Second Line Treatment For Community Acquired Pneumonia?

How do you manage community acquired pneumonia?

Initial outpatient therapy should include a macrolide or doxycycline.

For outpatients with comorbidities or who have used antibiotics within the previous three months, a respiratory fluoroquinolone (levofloxacin, gemifloxacin, or moxifloxacin), or an oral beta-lactam antibiotic plus a macrolide should be used..

What is the best oral antibiotic for pneumonia?

The best initial antibiotic choice is thought to be a macrolide. Macrolides provide the best coverage for the most likely organisms in community-acquired bacterial pneumonia (CAP). Macrolides have effective coverage for gram-positive, Legionella, and Mycoplasma organisms.

How long do you treat community acquired pneumonia?

We agree with the recent IDSA/ATS guidelines which recommend that patients with CAP should be treated for a minimum of 5 days, should be afebrile for 48–72 h, and should have no more than one CAP-associated sign of clinical instability before stopping therapy.

What are the differential diagnosis of pneumonia?

PneumoniaCausesBacteria, virus, aspirationRisk factorsCystic fibrosis, COPD, sickle cell disease, asthma, diabetes, heart failure, history of smoking, older ageDiagnostic methodBased on symptoms, chest X-rayDifferential diagnosisCOPD, asthma, pulmonary edema, pulmonary embolism11 more rows

What is the first line treatment for community acquired pneumonia?

The initial treatment of CAP is empiric, and macrolides or doxycycline (Vibramycin) should be used in most patients.

What type of pneumonia is community acquired?

Community-acquired pneumonia is defined as pneumonia that is acquired outside the hospital. The most commonly identified pathogens are Streptococcus pneumoniae, Haemophilus influenzae, atypical bacteria (ie, Chlamydia pneumoniae, Mycoplasma pneumoniae, Legionella species), and viruses.

Who is at risk for community acquired pneumonia?

Age, smoking, environmental exposures, malnutrition, previous CAP, chronic bronchitis/chronic obstructive pulmonary disease, asthma, functional impairment, poor dental health, immunosuppressive therapy, oral steroids, and treatment with gastric acid-suppressive drugs were definitive risk factors for CAP.

Is community acquired pneumonia curable?

Prognosis. Most people with community-acquired pneumonia recover. However, pneumonia can be fatal, most often in infants and in older people. The death rate is higher in Legionella infections, possibly because people who develop the disease are less healthy even before they become sick.

How is community acquired pneumonia diagnosed?

Diagnosis is suggested by a history of cough, dyspnea, pleuritic pain, or acute functional or cognitive decline, with abnormal vital signs (e.g., fever, tachycardia) and lung examination findings. Diagnosis should be confirmed by chest radiography or ultrasonography.

What is the best medication for pneumonia?

How is walking pneumonia treated?Macrolide antibiotics: Macrolide drugs are the preferred treatment for children and adults. … Fluoroquinolones: These drugs include ciprofloxacin (Cipro®) and levofloxacin (Levaquin®). … Tetracyclines: This group includes doxycycline and tetracycline.

What is severe community acquired pneumonia?

Severe CAP is defined as a pneumonia requiring supportive therapy within a critical care environment, that is associated with a higher mortality rate. Severe CAP is frequently a multisystem disease and patients will often present with multiple organ failure.

What is the difference between community acquired pneumonia and pneumonia?

Community-acquired pneumonia (CAP) refers to pneumonia (any of several lung diseases) contracted by a person outside of the healthcare system. In contrast, hospital-acquired pneumonia (HAP) is seen in patients who have recently visited a hospital or who live in long-term care facilities.

Is amoxicillin strong enough for pneumonia?

According to a new study, amoxicillin isn’t any better than a placebo at treating the symptoms of a lower respiratory tract infection or preventing them from worsening. Amoxicillin is typically used to treat lower respiratory tract infections such as pneumonia and acute bronchitis.

Is Vicks VapoRub good for pneumonia?

A. We are impressed that Vicks VapoRub on the soles of the feet actually helped a serious cough that signaled pneumonia. We do NOT recommend toughing it out with a home remedy as long as your hubby did.

What are the 4 stages of pneumonia?

Four Stages of PneumoniaCongestion. This stage occurs within the first 24 hours of contracting pneumonia. … Red Hepatization. This stage occurs two to three days after congestion. … Grey Hepatization. This stage will occur two to three days after red hepatization and is an avascular stage. … Resolution. … ‍ … Is Pneumonia Contagious?

What is the most common cause of community acquired pneumonia?

Worldwide, Streptococcus pneumoniae is a bacteria that is most often responsible for CAP in adults. Some other common bacteria that cause CAP are: Haemophilus influenzae. Mycoplasma pneumoniae.