Guidelines
Hospital-Acquired Pneumonia

Hospital-Acquired Pneumonia

Microbiology

Treatment

If patient is not at high risk of mortality and has no risk factors for MDR, monotherapy is sufficient

Clinical Considerations

Onset 48 hours or more after hospitalization

Pulmonary Symptoms

  • Cough
  • Dyspnea
  • Tachypnea
  • Crackles or rales
  • Hypoxemia
  • Sputum production

Systemic Symptoms

  • Fever
  • Leukocytosis
  • Chills
  • Fatigue
  • Tachycardia

Chest X-Ray

  • Single or multi-lobe involvement with consolidations, opacities, and/or interstitial infiltrates

2 blood cultures and sputum gram stain

PSI, CURB-65 and chest x-ray (if worsened symptoms)

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