1
Q
causative organisms for CAP
A
Strept pneumoniae
Haemophilus influenzae
Legionella, Chlamydia pneumoniae, Mycoplasma pneumoniae
2
Q
What is Health Care-Associated Pneumonia (HCAP)
A
occurring < 48 hours of admission in patients with recent close contact with health care system
3
Q
What is Hospital Acquired Pneumonia
A
occurring > 48 hours of admission (NOT incubating at time
of admission)
4
Q
Risk factors for multidrug-resistant (MDR) pathogens
A
- Antibiotics within 90 days
- Current hospitalization ≥ 5 days (Late-onset pneumonia)
- High frequency of antibiotic resistance in the community or in the specific hospital unit
- Immunosuppressive disease and/or therapy
- Risk factors for HCAP
5
Q
Risk factors for HCAP
A
- Hospital stay ≥ 2 days within 90 days
- Nursing home or extended care facility resident
- Home infusion therapy
- Chronic dialysis within 30 days
- Home wound care
- Family with multidrug-resistant (MDR) pathogen
6
Q
Patients with NO risk factors for MDR pathogens
“Early Onset” (organisms)
A
o S. pneumoniae o H. influenzae o MSSA o E. coli o K. pneumoniae o Proteus
7
Q
Patients with risk factors for MDR pathogens
“Late Onset” (organisms)
A
o See left column PLUS o ESBL producing K. pneumoniae o P. aeruginosa o Acinetobacter o MRSA o Legionella
