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Hospital Acquired Pneumonia (HAP)

General Information

· For non-ICU, non-LTC patients refer to CAP Inpatient treatments

· Of all infections in hospitalized, pneumonia is associated with the highest mortality

· During hospital stays patients oropharyngeal tract becomes colonized with hospital-associated bacterial flora

· Colonization combined with elevated stress levels, immune impairment and other risk factors is a prescription for disaster

· Colonization frequently consists of S. aureus, and the SPACE organisms particularly P. aeruginosa, and the Enterobacteriaceae Klebsiella and Enterobacter

· The degree of acute care increases the seriousness of the infection and seems to be related to the organisms

Presentation/Diagnosis/Clinical Investigation

² Same as CAP

² Last hospitalization?

² Where does the patient live (Nursing Home, LTC, SNF)?

² Contacts with animals…?

² Where in the hospital is the patient?

² What is going on in the beds next to the patient?

² What generally infects patients in the patients location?

² When to re-culture, where to culture