<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Management'' //CRB-65// criteria of severity - 3+ of ... (1 and 2 also inc risk of death) Confusion (abbreviated mental test score <= 8/10) Respiratory rate >= 30 / min BP: systolic <= 90 or diastolic <= 60 mmHg age >= 65 years with Urea >7mmol/l if available //Antibiotics// oral amoxicillin (with macrolide if admitted) IV benzylpenicillin + clarithromycin/doxycycline if severe (BNF) if life threatening (or severe according to BTS) - IV co-amoxiclav/cefuroxime/cefotaxime + clarithromycin ''Features of pneumococcal pneumonia'' rapid onset high fever pleuritic chest pain herpes labialis ''Common organisms ...'' Streptococcus pneumoniae - 80% cases Haemophilus influenzae Staphylococcus aureus - esp after flu - so give fluclox as well as amoxil atypical pneumonias - e.g. Mycoplasma pneumoniae viruses Klebsiella pneumoniae classic in alcoholics