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: influenza, RSV, parainfluenza
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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: influenza, RSV, parainfluenza
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