{"id":712,"date":"2023-10-26T11:29:46","date_gmt":"2023-10-26T15:29:46","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/chapter\/community-aquired-pneumonia\/"},"modified":"2023-11-11T16:52:43","modified_gmt":"2023-11-11T21:52:43","slug":"community-aquired-pneumonia","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/chapter\/community-aquired-pneumonia\/","title":{"raw":"Community-Aquired Pneumonia","rendered":"Community-Aquired Pneumonia"},"content":{"raw":"<div class=\"textbox textbox--exercises\">\r\n<div class=\"textbox__content\">\r\n\r\nIn this chapter, you will find BC recommendations for the treatment of [pb_glossary id=\"62\"]community-acquired pneumonia[\/pb_glossary]. We have also provided a link to a scoring tool to determine the severity of disease.\r\n\r\n<\/div>\r\n<\/div>\r\n<h2>Student Resources<\/h2>\r\n<a href=\"\/wp-content\/uploads\/sites\/2080\/2023\/10\/CAP-One-Pager-1.pdf\">CAP One Pager<\/a>\r\n<h1>Tools<\/h1>\r\n<details><summary><span style=\"color: #000000\"><em>CURB-65<\/em><\/span><\/summary>\r\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 180px\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 31px\">\r\n<td style=\"height: 31px;width: 12.6873%\"><strong>Purpose<\/strong><\/td>\r\n<td style=\"height: 31px;width: 87.2128%\">Assess the severity and risk of mortality in patients diagnosed with community acquired pneumonia. The results will help determine if patients should be treated in an inpatient or outpatient setting.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 31px\">\r\n<td style=\"height: 31px;width: 12.6873%\"><strong>Type of Resource<\/strong><\/td>\r\n<td style=\"width: 87.2128%\">Scoring tool<\/td>\r\n<\/tr>\r\n<tr style=\"height: 72px\">\r\n<td style=\"height: 72px;width: 12.6873%\"><strong>Included<\/strong><\/td>\r\n<td style=\"height: 72px;width: 87.2128%\">Tool consists of risk factors associated with mortality in CAP patients.\r\n\r\nInterpretation of Results:\r\n<ol>\r\n \t<li>0-1: outpatient<\/li>\r\n \t<li>2: inpatient<\/li>\r\n \t<li>3+: ICU<\/li>\r\n<\/ol>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 31px\">\r\n<td style=\"height: 31px;width: 12.6873%\"><strong>Student Bottom Line<\/strong><\/td>\r\n<td style=\"height: 31px;width: 87.2128%\">In all patients diagnosed with community acquired pneumonia, calculate the CURB-65 score to determine if patients should be treated in an inpatient or outpatient setting.<\/td>\r\n<\/tr>\r\n<tr class=\"shaded\" style=\"height: 15px\">\r\n<td style=\"text-align: center;height: 15px;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/324\/curb-65-score-pneumonia-severity\">VIEW RESOURCE<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/details><details><summary><span style=\"color: #000000\"><em>Pnemonia Severity Index (PSI)<\/em><\/span><\/summary>\r\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 166px\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 31px\">\r\n<td style=\"height: 31px;width: 14.6853%\"><strong>Purpose<\/strong><\/td>\r\n<td style=\"height: 31px;width: 85.2148%\">Assess risk of mortality in patients with community acquired pneumonia and determine if patient should be admitted to hospital for treatment.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"height: 15px;width: 14.6853%\"><strong>Type of Resource<\/strong><\/td>\r\n<td style=\"width: 85.2148%\">Scoring tool<\/td>\r\n<\/tr>\r\n<tr style=\"height: 88px\">\r\n<td style=\"height: 74px;width: 14.6853%\"><strong>Included<\/strong><\/td>\r\n<td style=\"height: 74px;width: 85.2148%\">Tool consists of risk factors associated with mortality in pneumonia patients.\r\n\r\nInterpretation of Results:\r\n<ul>\r\n \t<li>If score is \u226591 points, then hospitalization is recommended<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 31px\">\r\n<td style=\"height: 31px;width: 14.6853%\"><strong>Student Bottom Line<\/strong><\/td>\r\n<td style=\"height: 31px;width: 85.2148%\">When patients are diagnosed with CAP, this scoring tool can help determine risk of mortality and if outpatient or inpatient treatment is warranted.<\/td>\r\n<\/tr>\r\n<tr class=\"shaded\" style=\"height: 15px\">\r\n<td style=\"text-align: center;height: 15px;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/33\/psi-port-score-pneumonia-severity-index-cap\">VIEW RESOURCE<\/a><strong>\r\n<\/strong><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/details>\r\n<h1>Guidelines<\/h1>\r\n<details><summary><span style=\"color: #000000\"><em>BC Emergency Medicine Network<\/em><\/span><\/summary>\r\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 60px\" border=\"0\">\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 20.3796%\"><strong>Purpose<\/strong><\/td>\r\n<td style=\"width: 79.5205%\">Guide treatment recommendations for the treatment of community acquired pneumonia.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.3796%\"><strong>Type of Resource<\/strong><\/td>\r\n<td style=\"width: 79.5205%\">Treatment recommendations<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.3796%\"><strong>Included<\/strong><\/td>\r\n<td style=\"width: 79.5205%\">\r\n<ol>\r\n \t<li>General treatment recommendations<\/li>\r\n \t<li>Drug therapy based on CURB score<\/li>\r\n \t<li>Add on therapy based on MRSA and pseudomonas<\/li>\r\n \t<li>Hospital admission criteria<\/li>\r\n<\/ol>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 20.3796%\"><strong>Student Bottom Line<\/strong><\/td>\r\n<td style=\"width: 79.5205%\">In patients diagnosed with CAP, use these guidelines to determine the best drug therapy for your patient.<\/td>\r\n<\/tr>\r\n<tr class=\"shaded\">\r\n<td style=\"text-align: center;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.bcemergencynetwork.ca\/clinical_resource\/community-acquired-pneumonia-adult-treatment\/\">VIEW RESOURCE<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/details>","rendered":"<div class=\"textbox textbox--exercises\">\n<div class=\"textbox__content\">\n<p>In this chapter, you will find BC recommendations for the treatment of community-acquired pneumonia. We have also provided a link to a scoring tool to determine the severity of disease.<\/p>\n<\/div>\n<\/div>\n<h2>Student Resources<\/h2>\n<p><a href=\"\/wp-content\/uploads\/sites\/2080\/2023\/10\/CAP-One-Pager-1.pdf\">CAP One Pager<\/a><\/p>\n<h1>Tools<\/h1>\n<details>\n<summary><span style=\"color: #000000\"><em>CURB-65<\/em><\/span><\/summary>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 180px\">\n<tbody>\n<tr style=\"height: 31px\">\n<td style=\"height: 31px;width: 12.6873%\"><strong>Purpose<\/strong><\/td>\n<td style=\"height: 31px;width: 87.2128%\">Assess the severity and risk of mortality in patients diagnosed with community acquired pneumonia. The results will help determine if patients should be treated in an inpatient or outpatient setting.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td style=\"height: 31px;width: 12.6873%\"><strong>Type of Resource<\/strong><\/td>\n<td style=\"width: 87.2128%\">Scoring tool<\/td>\n<\/tr>\n<tr style=\"height: 72px\">\n<td style=\"height: 72px;width: 12.6873%\"><strong>Included<\/strong><\/td>\n<td style=\"height: 72px;width: 87.2128%\">Tool consists of risk factors associated with mortality in CAP patients.<\/p>\n<p>Interpretation of Results:<\/p>\n<ol>\n<li>0-1: outpatient<\/li>\n<li>2: inpatient<\/li>\n<li>3+: ICU<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td style=\"height: 31px;width: 12.6873%\"><strong>Student Bottom Line<\/strong><\/td>\n<td style=\"height: 31px;width: 87.2128%\">In all patients diagnosed with community acquired pneumonia, calculate the CURB-65 score to determine if patients should be treated in an inpatient or outpatient setting.<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 15px\">\n<td style=\"text-align: center;height: 15px;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/324\/curb-65-score-pneumonia-severity\">VIEW RESOURCE<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/details>\n<details>\n<summary><span style=\"color: #000000\"><em>Pnemonia Severity Index (PSI)<\/em><\/span><\/summary>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 166px\">\n<tbody>\n<tr style=\"height: 31px\">\n<td style=\"height: 31px;width: 14.6853%\"><strong>Purpose<\/strong><\/td>\n<td style=\"height: 31px;width: 85.2148%\">Assess risk of mortality in patients with community acquired pneumonia and determine if patient should be admitted to hospital for treatment.<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"height: 15px;width: 14.6853%\"><strong>Type of Resource<\/strong><\/td>\n<td style=\"width: 85.2148%\">Scoring tool<\/td>\n<\/tr>\n<tr style=\"height: 88px\">\n<td style=\"height: 74px;width: 14.6853%\"><strong>Included<\/strong><\/td>\n<td style=\"height: 74px;width: 85.2148%\">Tool consists of risk factors associated with mortality in pneumonia patients.<\/p>\n<p>Interpretation of Results:<\/p>\n<ul>\n<li>If score is \u226591 points, then hospitalization is recommended<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td style=\"height: 31px;width: 14.6853%\"><strong>Student Bottom Line<\/strong><\/td>\n<td style=\"height: 31px;width: 85.2148%\">When patients are diagnosed with CAP, this scoring tool can help determine risk of mortality and if outpatient or inpatient treatment is warranted.<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 15px\">\n<td style=\"text-align: center;height: 15px;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/33\/psi-port-score-pneumonia-severity-index-cap\">VIEW RESOURCE<\/a><strong><br \/>\n<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/details>\n<h1>Guidelines<\/h1>\n<details>\n<summary><span style=\"color: #000000\"><em>BC Emergency Medicine Network<\/em><\/span><\/summary>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 60px\">\n<tbody>\n<tr>\n<td style=\"width: 20.3796%\"><strong>Purpose<\/strong><\/td>\n<td style=\"width: 79.5205%\">Guide treatment recommendations for the treatment of community acquired pneumonia.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3796%\"><strong>Type of Resource<\/strong><\/td>\n<td style=\"width: 79.5205%\">Treatment recommendations<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3796%\"><strong>Included<\/strong><\/td>\n<td style=\"width: 79.5205%\">\n<ol>\n<li>General treatment recommendations<\/li>\n<li>Drug therapy based on CURB score<\/li>\n<li>Add on therapy based on MRSA and pseudomonas<\/li>\n<li>Hospital admission criteria<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3796%\"><strong>Student Bottom Line<\/strong><\/td>\n<td style=\"width: 79.5205%\">In patients diagnosed with CAP, use these guidelines to determine the best drug therapy for your patient.<\/td>\n<\/tr>\n<tr class=\"shaded\">\n<td style=\"text-align: center;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.bcemergencynetwork.ca\/clinical_resource\/community-acquired-pneumonia-adult-treatment\/\">VIEW RESOURCE<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/details>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_712_62\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_712_62\"><div tabindex=\"-1\"><\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":1076,"menu_order":2,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by"},"chapter-type":[],"contributor":[68],"license":[53],"class_list":["post-712","chapter","type-chapter","status-publish","hentry","contributor-oliviabailey-6mh4r9hycn","license-cc-by"],"part":708,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/712","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/users\/1076"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/712\/revisions"}],"predecessor-version":[{"id":766,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/712\/revisions\/766"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/parts\/708"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/712\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/media?parent=712"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapter-type?post=712"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/contributor?post=712"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/license?post=712"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}