Pneumonia Pathophysiology 2012 (1)

Key steps for evaluating pneumonia hospital acquired

Info iconThis preview shows pages 23–29. Sign up to view the full content.

View Full Document Right Arrow Icon
Key Steps for Evaluating Pneumonia Hospital acquired pneumonia (HAP) Pneumonia ≥ 48 hours after hospital admission not incubating at admission Early onset: < 5 days from admission* Late onset: ≥ 5 days from admission Ventilator associated pneumonia (VAP) Pneumonia ≥ 48-72 hours following endotracheal intubation Determining Potential Microbiologic Causes *Pathogen prevalence resembles CAP – antibiotic choices should include coverage for CAP pathogens
Background image of page 23

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Microbiology and Pathogen Prevalence Staphylococcus aureus 10% Pseudomonas aeruginosa 8% Klebsiella pneumonia 4% Escherichia coli 2% Enterobacter species 5% Acinetobacter baumannii 2% Pathogen** Prevalence Hospital* and Ventilator Associated Pneumonia *Late onset HAP **Empiric antibiotics should provide coverage for each of these pathogens
Background image of page 24
Microbiology and Pathogen Prevalence Hospital and Ventilator Associated Pneumonia Pseudomonas aeruginosa Gram negative bacilli (rods) Non-lactose fermenting Infections Hospital associated HAP and VAP UTI, bacteremia Post-neurosurgical meningitis Foliculitis (hot tubs) Often multi-drug resistant
Background image of page 25

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Key Steps for Evaluating Pneumonia Healthcare associated pneumonia (HCAP) Pneumonia developing in a patient with 1 or more of the following criteria: Previous hospitalization (within 90 days) Residence in a nursing home Received antibiotics (within 30 days) Received chemotherapy (within 30 days) Received wound care (within 30 days) Attends a hemodialysis clinic Patients may be at risk for hospital associated pathogens or drug resistant pathogens Determining Potential Microbiologic Causes
Background image of page 26
Hospitalization Day 1 Day 2 Day 3 Day 4 Day 5 CAP* HAP Early* Late Key Steps for Evaluating Pneumonia Determining Potential Microbiologic Causes *Patient is likely to have CAP pathogens, unless risk factors for HCAP are present
Background image of page 27

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Key Steps in the Evaluation and Management of Pneumonia 1. Consider clinical presentation 1. Evaluate diagnostic tests and lab values 3. Determine the organisms most likely to be causing the infection 4. Choose appropriate antibiotic therapy 5. Provide appropriate monitoring of therapeutic interventions
Background image of page 28
Questions ???
Background image of page 29
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

Page23 / 29

Key Steps for Evaluating Pneumonia Hospital acquired...

This preview shows document pages 23 - 29. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online