<<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