Hospital-acquired pneumonia diagnostic algorithm: Difference between revisions
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{{Hospital-acquired pneumonia}} | {{Hospital-acquired pneumonia}} | ||
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==Diagnostic Algorithm== | ==Diagnostic Algorithm== | ||
Shown below is an algorithm for the diagnostic approach of Healthcare-associated pneumonia (HCAP), Ventilator-associated pneumonia VAP), and Hospital-acquired pneumonia (HAP).<ref>{{cite journal|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|year=2005|pages=388–416|issn=1073-449X|doi=10.1164/rccm.200405-644ST}}</ref> | |||
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Revision as of 18:38, 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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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Diagnostic Algorithm
Shown below is an algorithm for the diagnostic approach of Healthcare-associated pneumonia (HCAP), Ventilator-associated pneumonia VAP), and Hospital-acquired pneumonia (HAP).[1]
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 | ||||||||||||||||||||||||||||||||
References
- ↑ "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. ISSN 1073-449X.