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Healthcare-associated pneumonia: diagnostic criteria and distinction from community-acquired pneumonia.
Int J Infect Dis. 2011 Aug; 15(8):e545-50.IJ

Abstract

BACKGROUND

Traditionally, pneumonia developing in patients who receive healthcare services in the outpatient environment has been classified as community-acquired pneumonia (CAP). However, recent investigations suggest that this type of infection, known as healthcare-associated pneumonia (HCAP), is distinct from CAP in terms of its epidemiology, etiology, and risk for infection with multidrug-resistant (MDR) pathogens.

METHODS

A Medline literature review of available clinical studies using the term HCAP was conducted to determine outcomes compared to CAP and effective empiric treatment strategies.

RESULTS

Analysis of multi-institutional clinical data showed that mortality in hospitalized patients with HCAP is greater than that in CAP, and patients with HCAP received inappropriate initial empiric antibiotic treatment more frequently than CAP patients. The bacterial pathogens associated with HCAP also differed from CAP with potentially MDR Gram-positive and Gram-negative bacteria being more common in HCAP.

CONCLUSIONS

All patients hospitalized with suspected HCAP should be evaluated for their underlying risk of infection with MDR pathogens. Because HCAP is similar to hospital-acquired pneumonia (HAP), both clinically and etiologically, it should be treated as HAP until culture data become available.

Authors+Show Affiliations

Department of Infectious Diseases, Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

21616695

Citation

Falcone, Marco, et al. "Healthcare-associated Pneumonia: Diagnostic Criteria and Distinction From Community-acquired Pneumonia." International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, vol. 15, no. 8, 2011, pp. e545-50.
Falcone M, Venditti M, Shindo Y, et al. Healthcare-associated pneumonia: diagnostic criteria and distinction from community-acquired pneumonia. Int J Infect Dis. 2011;15(8):e545-50.
Falcone, M., Venditti, M., Shindo, Y., & Kollef, M. H. (2011). Healthcare-associated pneumonia: diagnostic criteria and distinction from community-acquired pneumonia. International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, 15(8), e545-50. https://doi.org/10.1016/j.ijid.2011.04.005
Falcone M, et al. Healthcare-associated Pneumonia: Diagnostic Criteria and Distinction From Community-acquired Pneumonia. Int J Infect Dis. 2011;15(8):e545-50. PubMed PMID: 21616695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Healthcare-associated pneumonia: diagnostic criteria and distinction from community-acquired pneumonia. AU - Falcone,Marco, AU - Venditti,Mario, AU - Shindo,Yuichiro, AU - Kollef,Marin H, Y1 - 2011/05/26/ PY - 2010/09/22/received PY - 2010/12/27/revised PY - 2011/04/19/accepted PY - 2011/5/28/entrez PY - 2011/5/28/pubmed PY - 2012/9/21/medline SP - e545 EP - 50 JF - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JO - Int J Infect Dis VL - 15 IS - 8 N2 - BACKGROUND: Traditionally, pneumonia developing in patients who receive healthcare services in the outpatient environment has been classified as community-acquired pneumonia (CAP). However, recent investigations suggest that this type of infection, known as healthcare-associated pneumonia (HCAP), is distinct from CAP in terms of its epidemiology, etiology, and risk for infection with multidrug-resistant (MDR) pathogens. METHODS: A Medline literature review of available clinical studies using the term HCAP was conducted to determine outcomes compared to CAP and effective empiric treatment strategies. RESULTS: Analysis of multi-institutional clinical data showed that mortality in hospitalized patients with HCAP is greater than that in CAP, and patients with HCAP received inappropriate initial empiric antibiotic treatment more frequently than CAP patients. The bacterial pathogens associated with HCAP also differed from CAP with potentially MDR Gram-positive and Gram-negative bacteria being more common in HCAP. CONCLUSIONS: All patients hospitalized with suspected HCAP should be evaluated for their underlying risk of infection with MDR pathogens. Because HCAP is similar to hospital-acquired pneumonia (HAP), both clinically and etiologically, it should be treated as HAP until culture data become available. SN - 1878-3511 UR - https://www.unboundmedicine.com/medline/citation/21616695/Healthcare_associated_pneumonia:_diagnostic_criteria_and_distinction_from_community_acquired_pneumonia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1201-9712(11)00094-4 DB - PRIME DP - Unbound Medicine ER -