Antimicrobial Therapy for Community-Acquired Pneumonia
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Questions and Answers

What is the preferred regimen for treating a patient who does not have a contraindication to a macrolide?

  • Fluoroquinolone-based regimen plus an anti-MRSA agent
  • An anti-MRSA agent plus an antipneumococcal beta-lactam plus a macrolide (correct)
  • Respiratory fluoroquinolone monotherapy
  • An antipneumococcal beta-lactam plus doxycycline

Which of the following regimens is recommended for a patient who has a contraindication to a macrolide?

  • Respiratory fluoroquinolone monotherapy
  • Fluoroquinolone-based regimen plus an anti-MRSA agent
  • An anti-MRSA agent plus an antipneumococcal beta-lactam plus a macrolide
  • An antipneumococcal beta-lactam plus doxycycline (correct)

What is the primary role of an anti-MRSA agent in the treatment regimens?

  • To cover Legionella infections
  • To cover MRSA infections (correct)
  • To cover anaerobic infections
  • To cover pneumococcal infections

Why is a fluoroquinolone-based regimen considered an alternative treatment option?

<p>It is less effective than other regimens (A)</p> Signup and view all the answers

What is the rationale behind using a combination of antimicrobial agents in the treatment regimens?

<p>To cover a broader spectrum of pathogens (B)</p> Signup and view all the answers

What is the primary consideration for antibiotic selection in a patient without severe beta-lactam allergy?

<p>MRSA and Pseudomonas risk factors (B)</p> Signup and view all the answers

Which antibiotic regimen is recommended for a patient with MRSA risk factor(s) only?

<p>Anti-MRSA agent plus antipseudomonal/antipneumococcal beta-lactam (A)</p> Signup and view all the answers

What is the preferred antibiotic regimen for a patient with Pseudomonas risk factor(s) only?

<p>Combination beta-lactam-based regimen (C)</p> Signup and view all the answers

What is the primary consideration for selecting an antipneumococcal beta-lactam regimen?

<p>No MRSA or Pseudomonas risk factors (C)</p> Signup and view all the answers

Why is a combination beta-lactam-based regimen preferred over an antipseudomonal fluoroquinolone in certain patients?

<p>It is more effective against pneumococcal infections (C)</p> Signup and view all the answers

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