Tuberc Respir Dis.  2011 Feb;70(2):105-112. 10.4046/trd.2011.70.2.105.

Healthcare-Associated Pneumonia

• Lee HB
• Han HJ

• KMID: 1442859
• DOI: http://doi.org/10.4046/trd.2011.70.2.105

Abstract

Pneumonia is frequently encountered in the clinical fields, both as a cause for admission and as a complication of the underlying disorder or as the course of treatment. Pneumonia is the second most common hospital-acquired infection and is associated with the highest morbidity and mortality rates among hospital-acquired infections. The guidelines for the management of hospital-acquired pneumonia by the American Thoracic Society include identifying individuals who have recently received antibiotics therapy or have been in medical facilities; these individuals are at higher risk for infection with multiple drug resistant organisms. Individuals, who have acquired pneumonia according to this clinical scenario, have what is known as healthcare-associated pneumonia (HCAP). Patients with HCAP should be considered to have potentially drug-resistant pathogens and should receive broad spectrum empiric antibiotic therapy directed at the potentially resistant organisms. In this paper, the diagnosis, risk factors, and treatment of HCAP are discussed.

Keyword

Healthcare; Pneumonia

MeSH Terms

Anti-Bacterial Agents
Delivery of Health Care
Humans
Pneumonia
Risk Factors
Anti-Bacterial Agents

Figure

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  Figure 1 Algorithm for the current management recommendations for HCAP. HCAP: healthcare-associated pneumonia; MDR: multi drug resistant (This Figure is reprinted from the article by ATS and IDSA2 [2005, p. 388-416]).

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  Figure 2 Recommendations for assessing response to initial antibiotic therapy, de-escalation and stopping antibiotics in patients with suspected HCAP. HCAP: healthcare-associated pneumonia; WBC: white blood cells; CXR: chest X-ray; SaO2: oxygen saturation; Cxs: complications; Dx: diagnosis; Tx: treatment (This Figure is reprinted from the article by ATS and IDSA2 [2005, p. 388-416]).

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