Pneumonia diagnostic criteria: Difference between revisions
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[[Community acquired pneumonia]] should be distinguished from healthcare-associated pneumonia as these diseases have different causative organism, prognosis, diagnostic and treatment guidelines. | [[Community acquired pneumonia]] should be distinguished from healthcare-associated pneumonia as these diseases have different causative organism, prognosis, diagnostic and treatment guidelines. | ||
== | ==Community-acquired pneumonia diagnostic criteria== | ||
Patient who has not been hospitalized or in an institutional setting for the past 2 weeks and have the following findings: | Patient who has not been hospitalized or in an institutional setting for the past 2 weeks and have the following findings: | ||
* CXR findings of a new infiltrate. Although there is no gold standard for the diagnosis of community acquired pneumonia (CAP), a new infiltrate on chest radiograph in the setting of acute respiratory complaints (e.g., cough and dyspnea) is considered highly suggestive of CAP. | * CXR findings of a new infiltrate. Although there is no gold standard for the diagnosis of community acquired pneumonia (CAP), a new infiltrate on chest radiograph in the setting of acute respiratory complaints (e.g., cough and dyspnea) is considered highly suggestive of CAP. | ||
* Atleast 2 of the four: fever, cough, dyspnea, chest pain. | * Atleast 2 of the four: fever, cough, dyspnea, chest pain. | ||
==Healthcare associated pneumonia diagnostic criteria== | ==Healthcare associated pneumonia diagnostic criteria== | ||
According to the Infectious Diseases Society of America and the American Thoracic Society healthcare-associated pneumonia includes any patient who meet the below criteria <ref name="pmid21663884">{{cite journal |author=Attridge RT, Frei CR |title=Health care-associated pneumonia: an evidence-based review |journal=[[The American Journal of Medicine]] |volume=124 |issue=8 |pages=689–97 |year=2011 |month=August |pmid=21663884 |doi=10.1016/j.amjmed.2011.01.023 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(11)00291-9 |accessdate=2012-09-02}}</ref> | According to the Infectious Diseases Society of America and the American Thoracic Society healthcare-associated pneumonia includes any patient who meet the below criteria <ref name="pmid21663884">{{cite journal |author=Attridge RT, Frei CR |title=Health care-associated pneumonia: an evidence-based review |journal=[[The American Journal of Medicine]] |volume=124 |issue=8 |pages=689–97 |year=2011 |month=August |pmid=21663884 |doi=10.1016/j.amjmed.2011.01.023 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(11)00291-9 |accessdate=2012-09-02}}</ref> | ||
Revision as of 19:39, 7 September 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Community acquired pneumonia should be distinguished from healthcare-associated pneumonia as these diseases have different causative organism, prognosis, diagnostic and treatment guidelines.
Community-acquired pneumonia diagnostic criteria
Patient who has not been hospitalized or in an institutional setting for the past 2 weeks and have the following findings:
- CXR findings of a new infiltrate. Although there is no gold standard for the diagnosis of community acquired pneumonia (CAP), a new infiltrate on chest radiograph in the setting of acute respiratory complaints (e.g., cough and dyspnea) is considered highly suggestive of CAP.
- Atleast 2 of the four: fever, cough, dyspnea, chest pain.
Healthcare associated pneumonia diagnostic criteria
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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