• Pneumonia that develops 48 hours or more after admission to hospital

• Ventilator-associated pneumonia is excluded. Please refer to ventilator-associated pneumonia guidelines.

• Blood cultures x 2 sets (always)

• Sputum culture

• S. pneumoniae urinary antigen (optional)

Guideline content derived from:

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

1. 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
2. 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
3. Blondel-Hill E. & Fryters S. (2012). Bugs & Drugs. An Antimicrobial/Infectious Diseases Reference. Alberta Health Services.
4. MSH+UHN Antimicrobial Stewardship Program. Hospital Acquired Pneumonia. Accessed online 12-2016.
5. Management of Penicillin and Beta-Lactam Allergy. NB-ASC. 09-2017
6. Adult Antimicrobial Dosing Tool. NB-ASC. 09-2017