Health care-associated pneumonia: An evidence-based review

Russell T. Attridge, Christopher R. Frei

    Research output: Contribution to journalReview articlepeer-review

    33 Scopus citations

    Abstract

    Health care-associated pneumonia is a relatively new classification of pneumonia that includes community-dwelling pneumonia patients having contact with the health care system. Current data indicate that health care-associated pneumonia patients present with more severe disease, are more likely to be infected with drug-resistant pathogens, and suffer increased mortality compared with community-acquired pneumonia patients. Guidelines recommend that these patients receive empiric antibiotics similar to those recommended for nosocomial pneumonia; however, it is not currently known if outcomes are improved when health care-associated pneumonia patients are treated with these therapies. In addition, the individual health care-associated pneumonia risk factors are based on limited data and are a poor predictor of patients likely to be infected with drug-resistant pathogens. Many questions remain on how to most appropriately care for this growing group of pneumonia patients. This review is an evidence-based discussion of current health care-associated pneumonia data, the individual health care-associated pneumonia risk factors, and limitations and additional considerations for the health care-associated pneumonia classification system.

    Original languageEnglish (US)
    Pages (from-to)689-697
    Number of pages9
    JournalAmerican Journal of Medicine
    Volume124
    Issue number8
    DOIs
    StatePublished - Aug 2011

    Keywords

    • Guideline-concordant antibiotic therapy
    • Multidrug-resistant
    • Pneumonia

    ASJC Scopus subject areas

    • Medicine(all)

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