Flea Bytes: Hospital Acquired Pneumonia (HAP)

  • Definition: pneumonia that occurs 48 hours or more after admission and did not appear to be incubating at the time of admission.
  • HCAP Removed because many patients who met criteria were in fact not at increased risk for multi-drug resistant organisms, MDROs
  • Recommended antibiotics: anti-pseudomonal +/- double pseudomonal coverage +/- MRSA coverage
  • MRSA Risks: abx use IV abx in past 90 days, unit where prevalence of MRSA among S. aureus isolates is not known or >20%. No recommendations regarding use of MRSA swab to guide need for MRSA coverage.
  • Non-invasive Sputum cultures recommended to guide therapy
  • Duration: 7 days
  • New CAP guidelines (to include patients from nursing homes) are pending.

Reference:

http://www.idsociety.org/Guidelines/Patient_Care/IDSA_Practice_Guidelines/Infections_by_Organ_System/Lower/Upper_Respiratory/Hospital-Acquired_Pneumonia_(HAP)/