Pneumonia Community Acquired



Summary

CURB-65 score

Confusion

Urea >7

Respiratory Rate >30

SBP <90mmHg or

DBP <60mmHg

Age >65


Algorithm

Community Acquired Pneumonia Management Options

 


Clinical features severe pneumonia

Clinical

Lab

Investigations needed

Resp. rate > 30/min
Diastolic BP < 60mmHg
Underlying disease
Age > 60 years
Multilobar involvement

Urea > 7mmol/L
pO2 < 9kPa
WBC < 4.0
WBC > 20.0

Blood cultures
sputum culture
Clotted blood for viral / atypical serology
Urine for legionella antigen

Treatment and management

Please follow HSE-S antibiotic guidelines


Switch from parenteral drug to the equivalent oral preparation should be made as soon as clinically appropriate.

Red flags and pitfalls


Links


Content by Dr Íomhar O' Sullivan 21/12/2004 Based on BTS Guidelines Management of Community Acquired Pneumonia 2004. Additional material and CUH Respiratory Protocols (Beware LARGE file download) supplied by Dr Mike Henry 12/11/2007. Reviewed by Dr ÍOS 26/06/2009. Last reviewDr. ÍOS 30/08/12.