Hospital-acquired pneumonia diagnostic algorithm: Difference between revisions
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{{familytree | | | G01 | | | | | | G02 | | | | G01=<div style="float: left; text-align: center; width: 14em;">'''Yes'''<br>Assess culture results</div>| G02=<div style="float: left; text-align: center; width: 14em;"> '''No''' <br>Assess culture results</div> }} | {{familytree | | | G01 | | | | | | G02 | | | | G01=<div style="float: left; text-align: center; width: 14em;">'''Yes'''<br>Assess culture results</div>| G02=<div style="float: left; text-align: center; width: 14em;"> '''No''' <br>Assess culture results</div> }} | ||
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{{familytree | H01 | | H02 | | H03 | | H04 | | | | H01=<div style="float: left; text-align: center; width: 14em; padding:0.5em;"> | {{familytree | H01 | | H02 | | H03 | | H04 | | | | H01=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">'''Positive''' Culture </div>|H02=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">'''Negative''' Culture </div>|H03=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">'''Positive''' Culture</div>|H04=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">'''Negative''' Culture </div>}} | ||
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{{familytree | H01 | | H02 | | H03 | | H04 | | | | H01=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">De-escalate antibiotics, treat for 7-8 more days and re-evaluate</div>|H02=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">Consider stopping antibiotics </div>|H03=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">Adjust antibiotic regimen based on culture susceptibility, look for other infection sites and complications</div>|H04=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">Look for other pathogens, infection sites and complications </div>}} | {{familytree | H01 | | H02 | | H03 | | H04 | | | | H01=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">De-escalate antibiotics, treat for 7-8 more days and re-evaluate</div>|H02=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">Consider stopping antibiotics </div>|H03=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">Adjust antibiotic regimen based on culture susceptibility, look for other infection sites and complications</div>|H04=<div style="float: left; text-align: center; width: 14em; padding:0.5em;">Look for other pathogens, infection sites and complications </div>}} | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 18:35, 11 December 2014
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Hospital-acquired pneumonia Microchapters |
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Differentiating Hospital-Acquired Pneumonia from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Hospital-acquired pneumonia diagnostic algorithm On the Web |
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American Roentgen Ray Society Images of Hospital-acquired pneumonia diagnostic algorithm |
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Hospital-acquired pneumonia diagnostic algorithm in the news |
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Directions to Hospitals Treating Hospital-acquired pneumonia |
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Risk calculators and risk factors for Hospital-acquired pneumonia diagnostic algorithm |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
Diagnostic Algorithm
High suspicion of HAP, VAP or HCAP | |||||||||||||||||||||||||||||||||||
Obtain sputum or respiratory secretions sample for culture and microscopy | |||||||||||||||||||||||||||||||||||
Does the patient has any of the following risk factors for MDR infection?
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After 2-3 days, check cultures and assess the clinical response based on:
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Does the patient improved his clinical status after 48-72 hours? | |||||||||||||||||||||||||||||||||||
Yes Assess culture results | No Assess culture results | ||||||||||||||||||||||||||||||||||
Positive Culture | Negative Culture | Positive Culture | Negative Culture | ||||||||||||||||||||||||||||||||
De-escalate antibiotics, treat for 7-8 more days and re-evaluate | Consider stopping antibiotics | Adjust antibiotic regimen based on culture susceptibility, look for other infection sites and complications | Look for other pathogens, infection sites and complications | ||||||||||||||||||||||||||||||||