Firstline - Clinical Decisions

Definition

Pneumonia that develops 48 hours or more after admission to hospital
Ventilator-associated pneumonia is excluded. Please refer to ventilator-associated pneumonia guidelines.

Microbiological Analyses

Probable Pathogens

Clinical Pearls

Choose All That Apply

Use of IV antibiotics in past 90 days

Immunosuppression

Chronic lung disease (e.g. bronchiectasis, cystic fibrosis)

In intensive care unit (ICU) when symptoms appear, or transferred from ICU in last 48 hours

Attribution

Guideline content derived from:

NB Provincial Health Authorities Anti-Infective Stewardship Committee. Antimicrobial Treatment of Hospital Acquired Pneumonia (HAP). 09-2019

References

Kalil AC et al. Management of Adults with Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clinical Infectious Diseases. 2016; 63: 1-51
Pugh R, Grant C, Cooke RP, Dempsey G. Short-course versus prolonged-course antibiotic therapy for hospital-acquired pneumonia in critically ill adults. Cochrane Database Syst Rev 2015; 8:Cd007577
Blondel-Hill E. & Fryters S. (2012). Bugs & Drugs. An Antimicrobial/Infectious Diseases Reference. Alberta Health Services.
MSH+UHN Antimicrobial Stewardship Program. Hospital Acquired Pneumonia. Accessed online 12-2016.
Management of Penicillin and Beta-Lactam Allergy. NB-ASC. 09-2017
Adult Antimicrobial Dosing Tool. NB-ASC. 09-2017