PCAP 2016 Guidelines

Based on the 2016 PCAP Guideline, Pneumonia may not be considered if any of the following negative predictors are present except:

• absence of fever

• absence of nasal flaring

• absence of chest well retractions

• O2 sat greater than 94%

• absence of tachypnea

Which of the following is not true regarding Amoxicillin treatment for pCAP A or B patient?

• Given at 40 to 50 mg/day TID in areas with low antibiotic resistance

• Given at 90mkd in areas with proven high antibiotic resistance

• Given for a minimum of 3 days

• May given in 2 divided doses for a minimum of 5 days

• all statements are correct

A 16 month old patient was diagnosed with PCAP C at the OPD. You reviewed that patient had no antibiotic history and was given 3 doses of PENTA vaccine at the RHU.

In a hospital with low resource setting, what management is false?

• Penicillin G 100,000units/kg/day in 4 divided dose can be given

• Ceftriaxone at 50mkd OD should be started

• If can tolerate oral feeding and no oxygen requirement, Amoxicillin at 40 to 50 mkd divided in 3 doses may be given

• All answers are correct

The following antiviral drug therapy for clinically suspected or laboratory confirmed influenza virus is recommended in management of pCAP C or D except:

• Oseltamivir

• Zanamivir

• anti-influenza agent not recommended

• both Oseltamivir and Zanamivir

Which ancillary treatment for pCAP C is found to be beneficial except:

• Zinc to reduce mortality

• Spirulina to reduce length of stay

• Vitamin D3 to reduce length of stay

• no exceptions

Which of the following is beneficial in reducing burden of hospitalization of pneumonia?

• avoidance of cigarette smoking and biomass fuel

• zinc

• Vitamin D

• all of the above

• Aside from avoidance of cigarette smoking, the following can also reduce burden of hospitalization:

  
  

  conjugated vaccine (PCV 10 or 13) against Streptococcus pneumonia vaccine against Haemophilus Influenza type B breastfeeding