Hospital-acquired pneumonia diagnostic criteria: Difference between revisions
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{{Hospital-acquired pneumonia}} | {{Hospital-acquired pneumonia}} | ||
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==Overview== | ==Overview== | ||
In hospitalised patient who develop respiratory symptoms and fever one should consider the diagnosis. The likelyhood increases when upon investigation symptoms are found of [[respiratory insufficiency]], purulent secretions, newly developed infiltrate on the [[chest X-Ray]], and increasing [[leucocytosis|leucocyte count]]. If pneumonia is suspected material from sputum or tracheal aspirates are sent to the [[microbiology department]] for cultures. In case of [[pleural effusion]] [[thoracentesis]] is performed for examination of [[pleural fluid]]. In suspected ventilator-associated pneumonia it has been suggested that [[bronchoscopy]]([[BAL]]) is necessary because of the known risks surrounding clinical diagnoses. | In hospitalised patient who develop respiratory symptoms and fever one should consider the diagnosis. The likelyhood increases when upon investigation symptoms are found of [[respiratory insufficiency]], purulent secretions, newly developed infiltrate on the [[chest X-Ray]], and increasing [[leucocytosis|leucocyte count]]. If pneumonia is suspected material from sputum or tracheal aspirates are sent to the [[microbiology department]] for cultures. In case of [[pleural effusion]] [[thoracentesis]] is performed for examination of [[pleural fluid]]. In suspected ventilator-associated pneumonia it has been suggested that [[bronchoscopy]]([[BAL]]) is necessary because of the known risks surrounding clinical diagnoses. | ||
Revision as of 16:51, 5 March 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
In hospitalised patient who develop respiratory symptoms and fever one should consider the diagnosis. The likelyhood increases when upon investigation symptoms are found of respiratory insufficiency, purulent secretions, newly developed infiltrate on the chest X-Ray, and increasing leucocyte count. If pneumonia is suspected material from sputum or tracheal aspirates are sent to the microbiology department for cultures. In case of pleural effusion thoracentesis is performed for examination of pleural fluid. In suspected ventilator-associated pneumonia it has been suggested that bronchoscopy(BAL) is necessary because of the known risks surrounding clinical diagnoses.
Diagnostic criteria of hospital acquired pneumonia
Community acquired pneumonia should be distinguished from healthcare-associated pneumonia as these diseases have different causative organism, prognosis, diagnostic and treatment guidelines. According to the Infectious Diseases Society of America and the American Thoracic Society healthcare-associated pneumonia includes any patient who meet the below criteria [1]
- Hospitalized in an acute care hospital for 2 or more days within 90 days of the infection;
- Resided in a nursing home or long-term care facility;
- Received recent intravenous antibiotic therapy, chemotherapy, or wound care within the past 30 days of the current infection;
- Attended a hospital or hemodialysis clinic
References
- ↑ Attridge RT, Frei CR (2011). "Health care-associated pneumonia: an evidence-based review". The American Journal of Medicine. 124 (8): 689–97. doi:10.1016/j.amjmed.2011.01.023. PMID 21663884. Retrieved 2012-09-02. Unknown parameter
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