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Pneumonia Treatment Updates - Treatment (Part II)

Matthew DeLaney, MD and Rick Pescatore, DO
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16:35
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Matthew and Rick discuss the new IDSA updates regarding the diagnosis, disposition and treatment of patients with possible community acquired pneumonia.

 

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Ian L., Dr -

In pregnant patients with a fever sore throat and cough the danger of mycoplasma infection is severe as mycoplasma is intracellular and vertical transmission occurs .
Huber BM et al in Neonatology 2018 114(14) 332-336
You are also in dilemma because you would not rush to a chest X-ray .
Use of dual therapy Amoxil 1G TDS for 5days and. Azithyomycin 1G daily for 5Days would hopefully reduce fetal risk .

Mike W., MD -

Thx Ian!!

Laura B., 4764333 -

Thanks for the great episode!
I was wondering, for high risk adults, what does the addition of a beta lactam antibiotic provide vs just using Doxycycline alone? It seems that Doxycycline covers the typical pathogens for CAP as well as atypicals, so why not do this alone? Thanks so much!

Mike W., MD -

From Rick Pescatore: Additional coverage is warranted due to increased likelihood of infection with multi drug-resistant organisms, particularly resistant pneumococcus

Laura B., 4764333 -

Got it, thanks so much for the prompt reply!! I love the podcast!
~ Laura

Ruth S. -

What about for children, do these same guidelines apply or is this just for adults?

Mike W., MD -

Sorry, these are just for adults
M

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Urgent Care RAP February 2020 Written Summary 1 MB - PDF

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