Episode 176.0 – Pneumonia Updates
We go over the recent updates in the workup and management of pneumonia.
Hosts:
Brian Gilberti, MD
Audrey Tse, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Pneumonia_Updates.mp3
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Tags: Infectious Diseases, Pulmonary
Show Notes
2007 Infectious Diseases Society of America/American Thoracic Society Criteria for Defining Severe Community-acquired Pneumonia
Validated definition includes either one major criterion or three or more minor criteria
* Minor criteria
* Respiratory rate > 30 breaths/min PaO2/FIO2 ratio<250
Multilobar infiltrates Confusion/disorientation
* Uremia (blood urea nitrogen level > 20 mg/dl)
* Leukopenia* (white blood cell count , 4,000 cells/ml)
* Thrombocytopenia (platelet count , 100,000/ml)
* Hypothermia (core temperature , 368 C) Hypotension requiring aggressive fluid
* resuscitation
* Major criteria
* Septic shock with need for vasopressors
* Respiratory failure requiring mechanical ventilation
A special thanks to our Infectious Diseases Editor:
Angelica Cifuentes Kottkamp, MD
Infectious Diseases & Immunology
NYU School of Medicine
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