Hospital-acquired pneumonia causes: Difference between revisions

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==Overview==
==Overview==
The majority of cases related to various gram-negative bacilli (52%) and [[S. aureus]] (19%). Others are [[Haemophilus]] spp. (5%). In the ICU results were S. aureus(17.4%), [[P. aeruginosa]] (17.4%), [[Klebsiella pneumoniae]] and [[Enterobacter]] spp. (18.1%), and [[Haemophilus influenzae]] (4.9%). Viruses -[[influenza]] and [[respiratory syncytial virus]] and, in the immunocompromised host, [[cytomegalovirus]]- cause 10-20% of infections.
The majority of cases related to various gram-negative bacilli (52%) and [[S. aureus]] (19%). Others are [[Haemophilus]] spp. (5%). In the ICU results were S. aureus(17.4%), [[P. aeruginosa]] (17.4%), [[Klebsiella pneumoniae]] and [[Enterobacter]] spp. (18.1%), and [[Haemophilus influenzae]] (4.9%). Viruses -[[influenza]] and [[respiratory syncytial virus]] and, in the immunocompromised host, [[cytomegalovirus]]- cause 10-20% of infections.
===Etiological agents===
===Etiological agents <ref name="pmid15699079">{{cite journal |author= |title=Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia |journal=[[American Journal of Respiratory and Critical Care Medicine]] |volume=171 |issue=4 |pages=388–416 |year=2005 |month=February |pmid=15699079 |doi=10.1164/rccm.200405-644ST |url=http://ajrccm.atsjournals.org/cgi/pmidlookup?view=long&pmid=15699079 |accessdate=2012-09-12}}</ref>===
====Aerobic gram negative pathogens====
====Aerobic gram negative pathogens====
* Commonly polymicrobial
* Commonly polymicrobial

Revision as of 18:51, 12 September 2012

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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Philip Marcus, M.D., M.P.H.[2]

Overview

The majority of cases related to various gram-negative bacilli (52%) and S. aureus (19%). Others are Haemophilus spp. (5%). In the ICU results were S. aureus(17.4%), P. aeruginosa (17.4%), Klebsiella pneumoniae and Enterobacter spp. (18.1%), and Haemophilus influenzae (4.9%). Viruses -influenza and respiratory syncytial virus and, in the immunocompromised host, cytomegalovirus- cause 10-20% of infections.

Etiological agents [1]

Aerobic gram negative pathogens

  • Commonly polymicrobial
  • Common microbial agents include:
    • Pseudomonas aeruginosa
    • Escherichia coli
    • Klebsiella pneumoniae,
    • Acinetobacter

Gram-positive pathogens

  • Staphylococcus aureus
  • Methicillin resistant staphylococcus aureus (MRSA) (common in patients with diabetes mellitus, head trauma, and in ICU)

References

  1. "Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia". American Journal of Respiratory and Critical Care Medicine. 171 (4): 388–416. 2005. doi:10.1164/rccm.200405-644ST. PMID 15699079. Retrieved 2012-09-12. Unknown parameter |month= ignored (help)

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