Author Question: For a patient with pneumonia with coexisting cardiopulmonary disease, according to the ATS ... (Read 39 times)

nramada · **on:** Jul 16, 2018

For a patient with pneumonia with coexisting cardiopulmonary disease, according to the ATS guidelines, what single antibiotic could be given as empiric treatment?

a. Intravenous beta-lactam
b. Intravenous doxycycline
c. Intravenous fluoroquinolone
d. Intravenous macrolide

Question 2

Which of the following organisms that cause pneumonia is most likely to result in a positive blood culture?

a. Chlamydia pneumoniae
b. Haemophilus influenzae
c. Mycoplasma pneumoniae
d. Pneumocystis jiroveci

Heffejeff · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: C
For higher risk patients with these comorbidities, acceptable alternatives include an IV be-ta-lactam plus an IV or oral macrolide or doxycycline; alternatively, a parenteral fluoroquinolone may be used alone.

Answer to Question 2

ANS: B
Blood cultures should be obtained in hospitalized patients with community-acquired pneumonia and may be helpful in establishing the diagnosis in patients with typical bacterial pathogens. Blood cultures are positive in approximately 30 of patients with pneumococcal pneumonia and in up to 70 of those with H. influenzae pneumonia.