Pneumonia, Adult
Basics
Description
Description
- Epidemiology:
- Seventh leading cause of death and leading cause from infectious disease in the U.S.
- Highest mortality in elderly and patients with the following coexisting conditions:
- Chronic heart, lung, liver, and kidney disease
- Diabetes mellitus
- Alcoholism
- Malignancy
- Asplenia
- Immunosuppression
- Use of antimicrobials within last 3 mo
- Classifications:
- Source based:
- Community acquired (CAP)
- Hospital acquired (HAP)
- Ventilator associated (VAP)
- Symptom based:
- Typical
- Atypical
- Source based:
- Complications:
- Bacteremia
- Sepsis
- Abscess
- Empyema
- Respiratory failure
Etiology
Etiology
- CAP (typicals):
- Streptococcus pneumoniae
- Haemophilus influenzae
- Klebsiella pneumoniae
- Moraxella catarrhalis
- Streptococcus pyogenes
- Staphylococcus aureus
- CAP (atypicals):
- Mycoplasma pneumoniae
- Chlamydophila pneumoniae
- Legionella pneumophila
- Viral
- HCAP/HAP/VAP:
- Gram negatives (Pseudomonas, Stenotrophomonas)
- Methicillin-resistant S. aureus (MRSA)
- Immunosuppressed:
- Mycobacterium tuberculosis
- Pneumocystis jirovecii
- Aspiration:
- Chemical pneumonitis ± oral and gastric anaerobes
There's more to see -- the rest of this topic is available only to subscribers.
Citation
Schaider, Jeffrey J., et al., editors. "Pneumonia, Adult." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307617/all/Pneumonia__Adult.
Pneumonia, Adult. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307617/all/Pneumonia__Adult. Accessed December 10, 2024.
Pneumonia, Adult. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307617/all/Pneumonia__Adult
Pneumonia, Adult [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 10]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307617/all/Pneumonia__Adult.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Pneumonia, Adult
ID - 307617
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307617/all/Pneumonia__Adult
PB - Lippincott Williams & Wilkins
ET - 6
DB - Emergency Central
DP - Unbound Medicine
ER -