Hospital-acquired and ventilator-associated pneumonia

John G. Bartlett, M.D., Paul G. Auwaerter, M.D.

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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Last updated: October 13, 2016

Citation

Bartlett, John G, and Paul G Auwaerter. "Hospital-acquired and Ventilator-associated Pneumonia." Johns Hopkins ABX Guide, The Johns Hopkins University, 2016. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540443/all/Hospital_acquired_and_ventilator_associated_pneumonia.

Bartlett JG, Auwaerter PG. Hospital-acquired and ventilator-associated pneumonia. Johns Hopkins ABX Guide. The Johns Hopkins University; 2016. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540443/all/Hospital_acquired_and_ventilator_associated_pneumonia. Accessed April 22, 2019.

Bartlett, J. G., & Auwaerter, P. G. (2016). Hospital-acquired and ventilator-associated pneumonia. In Johns Hopkins ABX Guide. Available from https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540443/all/Hospital_acquired_and_ventilator_associated_pneumonia

Bartlett JG, Auwaerter PG. Hospital-acquired and Ventilator-associated Pneumonia [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2016. [cited 2019 April 22]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540443/all/Hospital_acquired_and_ventilator_associated_pneumonia.

* Article titles in AMA citation format should be in sentence-case

TY - ELEC T1 - Hospital-acquired and ventilator-associated pneumonia ID - 540443 A1 - Bartlett,John,M.D. AU - Auwaerter,Paul,M.D. Y1 - 2016/10/13/ BT - Johns Hopkins ABX Guide UR - https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540443/all/Hospital_acquired_and_ventilator_associated_pneumonia PB - The Johns Hopkins University DB - Pediatrics Central DP - Unbound Medicine ER -