26 results
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Adjuvant therapies ... steroids to treat infectious ... Acquired Pneumonia ... SCAP severe community-acquired ... Pharmacology #Management #Treatment
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... CAP present in 1 ... criteria: Septic shock ... EricsMedicalLectures/ #CAP #Community ... #Acquired #Pneumonia
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... complicated by septic shock ... CAP present in 1 ... criteria: Septic shock ... #Acquired #Pneumonia
Antibiotic treatment durations for first line antibiotics recommended by Public Health England (PHE) guidance
 • Acute
Antibiotic treatment ... acquired pneumonia ... CRB65=0 7 days • Community ... acquired pneumonia ... and CRB65=1 7-10
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
Antibiotics for severe community-onset ... piperacillin-tazobactam Septic Shock ... Hospitalization for > 1 ... - Linezolid 1 ... #Acquired #Pneumonia
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Toxic Megacolon, Shock ... Epidemiology: • #1 ... post-ABx, but can be community-acquired ... Ileus, Megacolon, Shock ... 10 mg/kg IV x 1
Common Infections in Solid-Organ Transplant Recipients
< 1 Month
 - Infection with antimicrobial-resistant species
 - Donor-derived infection
Common Infections ... Recipients < 1 ... Month - Infection ... colonization) 1- ... > 6 Months - Community-acquired
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Affects 1:25,000 ... and 1:50,000 patients ... disease • Infectious ... frequent and severe community-acquired ... infections: Pneumonia
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
vs non-infectious ... Septic Shock • ... recognition & treatment ... (within 1 hour) ... #sepsis #sirs #shock
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... necrosis STSS Treatment ... IVIG 1g/kg on day 1, ... day 2 + 3 BIDMC Infectious ... Syndrome #STSS #treatment