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CAP Algorithm

This document outlines treatment guidelines for community-acquired pneumonia (CAP) at University of Maryland Medical Center. It details assessing a patient's pneumonia severity index score upon admission, determining whether hospitalization or home treatment is appropriate based on the score, administering appropriate antibiotic therapy such as gatifloxacin or ceftriaxone with azithromycin, and criteria for switching to oral antibiotics and discharging the patient.

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522 views

CAP Algorithm

This document outlines treatment guidelines for community-acquired pneumonia (CAP) at University of Maryland Medical Center. It details assessing a patient's pneumonia severity index score upon admission, determining whether hospitalization or home treatment is appropriate based on the score, administering appropriate antibiotic therapy such as gatifloxacin or ceftriaxone with azithromycin, and criteria for switching to oral antibiotics and discharging the patient.

Uploaded by

damondouglas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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START DATE

University of Maryland
Medical Center

University of Maryland Medical Center


Treatment of Community-Acquired Pneumonia IMPRINT WITH PATIENT’S PLATE BEFORE USING

Patient Admitted to Emergency Department

Pneumonia Diagnosis by Radiograph and Symptoms

< 70 points Pneumonia Severity Index Scoring


Risk Class I Standard Diagnosis Work-Up

Consider Home
Management < 90 points > 90 points
Risk Class II - III Risk Class IV - V

NO
Patient Potential
Candidate for Patient Admitted to Hospital
Home Sputum, culture and sensitivity, Blood Cultures

YES
Gatifloxacin 400mg. qd IV or PO
Cultures NOT needed for OR
outpatient management Ceftriaxone 1 gm. IV or PO qd. Plus
Azithromycin 500 mg. IV or PO qd

First Dose Within 4 h of Presentation to


Emergency Department
Macrolide
Or
Fluoroquinolone
Orally for 7-10 days Criteria for Switching to Oral Therapy:
Able to Eat and Drink and Clinical Improvement

Criteria for Discharge:


Criteria as Listed above for Switch to Oral Therapy
Stable Comorbid Conditions
Normal Oxygenation (Oxygen Saturation>90% with room air)

• Repeat CXR in 6 weeks


• pneumovax and influenza Discharge
Outpatient Antibiotic Treatment for a Total of 7-10 days
10/2000
vaccines if deemed
appropriate
CAP TEAM – UMMS 10/20/02

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