Hospital Acquired Pneumonia

Hospital Acquired Pneumonia

Key Points

Pneumonia that occurs 48 hrs or more after admission and was not present at the time of admission

Antimicrobial therapy is not indicated for aspiration pneumonitis from micro-aspiration due to vomiting

Aspiration pneumonia from swallowing difficulties does not require additional anaerobic coverage (i.e. metronidazole) since oral anaerobes (i.e. Peptostreptococcus) are covered by most beta-lactams


Collect blood cultures and respiratory culture (sputum, endotracheal aspirate or bronchoscopic samples), ideally BEFORE antimicrobials are started

Empiric Treatment