Episode 54 - Community-Acquired Pneumonia in the Emergency Department - Interview with Matthew DeLaney, MD

EMplify by EB Medicine

EMplify - February 2021

Community Acquired Pneumonia - An Interview with Dr. Matthew DeLaney, FACEP

1. Pneumonia and nomenclature : healthcare associated vs hospital associated

2. COVID-19 and antibiotics

3. Bacteriology - Strep is only 10-15% of hospitalized pneumonia, Viral pneumonia is about 20% (pre covid)

4. Conditions that predispose to pneumonia

• chronic lung disease (chronic obstructive pulmonary disease, bronchiectasis)
• smoking
• older age
• immuno-compromise
• proton-pump inhibitors, H2 blockers, and antipsychotic agents

5. Is there a historical or exam item most likely to be indicative of pneumonia?

6. How good is a CXR?

7. When should I consider a CT if the CXR is normal?

8. Procalcitonin

9. Blood cultures, sputum cultures, urine antigens- are these helpful?

10. CURB-65 vs PSI

11. Antibiotics- table 3 major and minor, history of prior infection, and doxy for everyone !

12. Duration - 5 days works

13. A walk through the pathway