Hospital-acquired and ventilator-associated pneumonia
Hospital-acquired and ventilator-associated pneumonia is a topic covered in the Johns Hopkins ABX Guide.
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PATHOGENS
- S. aureus: MRSA > MSSA
- Gram-negative bacilli: Klebsiella, Enterobacter, E. coli, Pseudomonas aeruginosa, S. maltophilia, Acinetobacter spp. and others
- Most recent dreaded: carbapenem-resistant enterobacteriaceae (CRE), multidrug resistant Pseudomonas and Acinetobacter
- Legionella spp: may arise from institutional water/heating/cooling, consider nosocomial epidemic
- Anaerobes (aspiration rarely cultured due to need for uncontaminated specimen sources)
- Viruses (nosocomial): influenza, RSV, parainfluenza, SARS-CoV-2
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PATHOGENS
- S. aureus: MRSA > MSSA
- Gram-negative bacilli: Klebsiella, Enterobacter, E. coli, Pseudomonas aeruginosa, S. maltophilia, Acinetobacter spp. and others
- Most recent dreaded: carbapenem-resistant enterobacteriaceae (CRE), multidrug resistant Pseudomonas and Acinetobacter
- Legionella spp: may arise from institutional water/heating/cooling, consider nosocomial epidemic
- Anaerobes (aspiration rarely cultured due to need for uncontaminated specimen sources)
- Viruses (nosocomial): influenza, RSV, parainfluenza, SARS-CoV-2
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Last updated: June 16, 2021
Citation
Auwaerter, Paul G. "Hospital-acquired and Ventilator-associated Pneumonia." Johns Hopkins ABX Guide, The Johns Hopkins University, 2021. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540443/3.4/Hospital_acquired_and_ventilator_associated_pneumonia.
Auwaerter PG. Hospital-acquired and ventilator-associated pneumonia. Johns Hopkins ABX Guide. The Johns Hopkins University; 2021. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540443/3.4/Hospital_acquired_and_ventilator_associated_pneumonia. Accessed March 21, 2023.
Auwaerter, P. G. (2021). Hospital-acquired and ventilator-associated pneumonia. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540443/3.4/Hospital_acquired_and_ventilator_associated_pneumonia
Auwaerter PG. Hospital-acquired and Ventilator-associated Pneumonia [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2021. [cited 2023 March 21]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540443/3.4/Hospital_acquired_and_ventilator_associated_pneumonia.
* Article titles in AMA citation format should be in sentence-case
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T1 - Hospital-acquired and ventilator-associated pneumonia
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