Bacteria

Gram Negative Pneumonia

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Gram Negative Pneumonia, Coliform Pneumonia

  • See Also
  1. Bacterial Pneumonia
  • Etiologies
  1. Klebsiella
  2. Escherichia coli
  3. Enterobacter
  4. Proteus
  5. Pseudomonas aeruginosa
  • Epidemiology
  1. Represents <15% of all Community Acquired Pneumonia
  • Risk Factors
  1. Debilitated Patients
  2. Chronically ill patients
  3. Alcoholism
  • Diagnosis
  1. Pleuritic Chest Pain (Sudden onset)
  2. Hemoptysis
    1. Thick Bloody Sputum
  • Complications
  1. Tissue Necrosis
  2. Lung cavitation
  3. Empyema
  4. Similar to Pneumococcal Pneumonia
  • Course
  1. Virulent infection with frequent complications
  1. Gram Negative Bacilli
  1. Upper lobes most frequently involved
  • Management
  1. Third Generation Cephalosporin
  2. Cefoxitin
  3. Imipenem
  4. Ticarcillin-Clavulanate (Timentin)
  5. Piperacillin-Tazobactam (Zosyn)
  6. Amoxicillin-Clavulanate (Augmentin)