Hospital- acquired pneumonia
Hospital-acquired pneumonia (HAP) or Nosocomial pneumonia refers to any pneumonia contracted after at least 48-72 hours of being admitted to a hospital. It is usually caused by a bacterial infection.
1) Aetiology:
- Bacterial pneumonia: gram-negative bacilli (52%) and S. aureus (19%). In the ICU results were S. aureus(17.4%), P. aeruginosa (17.4%), Klebsiella pneumoniae and Enterobacter spp. (18.1%).
- Viral pneumonia: influenza..
2) Risk factors:
- Mechanical ventilation.
- Diminished lung volumes.
- Cross-infection.
3) Clinical features:
- Fever > 37.8oC.
- Sputum.
- Leucocyte > 10,000.
4) Diagnosis:
- Clinical symptoms.
- Chest X-ray.
- Leucocyte count.
- Microbiology
Đăng bởi:
ycantho - Ngày đăng:
18/12/2010
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