Please be patient! It may take up to ONE minute to load all the Engines.
Problems? Please contact our support.
Alternative namesNosocomial pneumonia
DefinitionHospital-acquired pneumonia is an infection of the lungs contracted during a hospital stay.
Causes, incidence, and risk factors
Pneumonia is a very common illness. It is caused by many different organisms and can range in seriousness from mild to life-threatening. Hospital-acquired pneumonia tends to be more serious because defense mechanisms against infection are often impaired during a hospital stay, and the kinds of infecting organisms are more dangerous than those generally encountered in the community.
Risk factors predisposing people to hospital-acquired pneumonia are alcoholism , older age, immunosuppression from medications or diseases, recent illness, and risk of aspiration .
Signs and tests
A physical examination reveals respiratory distress and crackles or decreased breath sounds when listening to the chest with a stethoscope.
Tests performed may include:
The objective of treatment is to cure the infection with antibiotics. An antibiotic is selected based on the specific causative organism detected by sputum culture . However, the organism cannot always be identified from testing, so antibiotic therapy is given to fight the most common bacterial organisms that infect hospitalized patients ( Staphylococcus aureus and Gram negative rods).
Supportive treatment includes supplemental oxygen and respiratory treatments to loosen and remove thick secretions from the lungs.
Most patients respond to the treatment and improve in 2 weeks. However, hospital-acquired pneumonias can be very severe and sometimes fatal.
Elderly or debilitated patients who fail to respond to treatment may die from acute respiratory failure.
Calling your health care provider
This disorder usually develops in the hospital and is detected there.
Ongoing prevention programs to limit hospital-acquired infections are in place at most institutions.
Update Date: 1/16/2004Daniel Levy, M.D., Ph.D., Infectious Diseases, Greater Baltimore Medical Center, Baltimore, MD. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT