Pulmonology Book

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Staphylococcal Pneumonia

Aka: Staphylococcal Pneumonia, Pneumonia due to Staphylococcus aureus
  1. See Also
    1. Bacterial Pneumonia
  2. Epidemiology
    1. Represents <10% of all community acquired Pneumonia
    2. Debilitated or chronically ill patients
  3. Risk factors
    1. Preceding viral respiratory infection
      1. Influenza
      2. Measles
    2. Cystic Fibrosis
    3. Nosocomial acquisition in intensive care unit
    4. Aspiration
    5. Nursing Home residents
    6. Obstructing Bronchogenic Carcinoma
  4. Symptoms and Signs
    1. Similar to Pneumococcal Pneumonia
  5. Complications
    1. Tissue necrosis
    2. Lung Cavitation
    3. Empyema (common)
    4. Pleural Effusion (common)
    5. Pneumatocele (common)
    6. Pneumothorax (25%)
  6. Labs
    1. Gram Stain
      1. Gram Positive Cocci within the Leukocytes
    2. Blood Culture
      1. Frequently negative
  7. Radiology: Chest XRay
    1. Right lung involved in 65% of cases
    2. Bilateral involvement in <20% of cases
  8. Management
    1. Avoid antibiotics with higher resistance
      1. Penicillin
      2. Ampicillin or Amoxicillin
    2. Methicillin Sensitive Staphylococcus aureus
      1. Oxacillin
      2. Nafcillin
      3. Clindamycin (risk of inducible resistance)
    3. Methicillin Resistant Staphylococcus Aureus
      1. Vancomycin
      2. Linezolid
  9. References
    1. Gilbert (2001) Sanford Antimicrobial, p. 28

Pneumonia due to Staphylococcus aureus (C2349530)

Concepts Disease or Syndrome (T047)
ICD10 J15.21, J15.211
SnomedCT 441658007
English Pneumonia due to Staphylococcus aureus, Pneumonia due to Staphylococcus aureus (disorder), Pneumonia due to staphylococcus aureus, Pneumonia due to Staphylococcus aureus NOS
Spanish neumonía por Staphylococcus aureus, neumonía por Staphylococcus aureus (trastorno)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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