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You are seeing a pediatric patient who has had 2 days of fevers and cough after a viral illness 2 weeks ago. You suspect that the patient has a severe lobar pneumonia. What would be the best antibiotic regimen for this patient?
A beta-lactamase inhibitor combination plus moxifloxacin
Metronidazole plus clindamycin
Azithromycin plus cefuroxime
Vancomycin plus piperacillin/tazobactam
Ceftriaxone plus azithromycin
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we suspect staph aureus as a cause of pneumonia complicationg viral illness
i'm thinking between beta lactamas inhibitor and moxifkloxacin and vanco plus pip
i'll go more with A than D
why adding anti pesudomonas ?
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cefuroxime and vanco/clinda
i dont find the answer
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floroquinolones are contraindicated in children
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Severe and postviral bacterial pneumonias are most likely caused by invasive bacteria, such as S aureus and S pneumoniae. Both of these organisms can be resistant to penicillins and cephalosporins because of altered penicillin-binding proteins. Vancomycin is a drug with good activity against both organisms and is appropriate for severe infections when these organisms are suspected. Coverage for anaerobes and gram-negative bacteria could be included depending on the clinical setting. Atypical organisms are less likely to cause severe lobar pneumonias.
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so vanco and zosyn ...thrombo
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yes thats the answer vanco plus piperra/tazo
