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Re: BonelessCat post# 79443

Friday, 01/31/2014 5:46:25 PM

Friday, January 31, 2014 5:46:25 PM

Post# of 146240
That is in part correct. Any patient admitted for pneumonia is started immediately on antibiotics, either a quinolone(levaquin) , or the combination of a 3rd generation cephalosporin plus Zithromax IV. If the patient is sicker(ICU) or immunocompromised, or from a nursing home or recently hospitalized, even more potent and broader spectrum antibiotics are started. This is done regardless of whether viral or influenza pneumonia is suspected. We have clues to the organism based on CXR appearance and history, but the above treatment is always started. Secondary bacterial infections are also common following viral pneumonitis, especially in the elderly or immunocompromised patient.
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