Episode 54 – Community-Acquired Pneumonia in the Emergency Department – Interview with Matthew DeLaney, MD

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Episode 54 – Community-Acquired Pneumonia in the Emergency Department – Interview with Matthew DeLaney, MD

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EMplify – February 2021

Community Acquired Pneumonia – An Interview with Dr. Matthew DeLaney, FACEP

1. Pneumonia and nomenclature : healthcare associated vs hospital associated
2. COVID-19 and antibiotics
3. Bacteriology – Strep is only 10-15% of hospitalized pneumonia, Viral pneumonia is about 20% (pre covid)
4. Conditions that predispose to pneumonia

• chronic lung disease (chronic obstructive pulmonary disease, bronchiectasis)
• smoking
• older age
• immuno-compromise
• proton-pump inhibitors, H2 blockers, and antipsychotic agents

5. Is there a historical or exam item most likely to be indicative of pneumonia?
6. How good is a CXR?
7. When should I consider a CT if the CXR is normal?
8. Procalcitonin
9. Blood cultures, sputum cultures, urine antigens- are these helpful?
10. CURB-65 vs PSI
11. Antibiotics- table 3 major and minor, history of prior infection, and doxy for everyone !
12. Duration – 5 days works
13. A walk through the pathway

Last Updated on January 25, 2023

Sam Ashoo, MD

Sam Ashoo, MD, FACEP,  is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…