II. Epidemiology

  1. Complicates up to 1% of hospitalizations
  2. Mortality: 30-50%

IV. Etiologies

V. Symptoms

VII. Imaging: Chest XRay

  1. New or progressive lung infiltrate

VIII. Management: Empiric Regimen

  1. Antibiotic 1 for MRSA coverage (choose one)
    1. Vancomycin 15-20 mg/kg IV every 8-12 hours (preferred) or
    2. Linezolid 600 mg IV every 12 hours
  2. Antibiotic 2 (choose one)
    1. Cefepime 2 g IV every 12 hours or
    2. Meropenem 1 g every 8 hours or
    3. Piperacillin-Tazobactam (Zosyn) 4.5 g every 6 hours
  3. Additional antibiotics to add to empiric regimen as indicated
    1. Increased local resistance rates
      1. Tobramycin 5-7 mg/kg IV every 24 hours or
      2. Levofloxacin 750 mg IV every 24 hours or
      3. Ciprofloxacin 400 mg IV every 8 hours or
      4. Amikacin 15-20 mg/kg IV every 24 hours
    2. Legionella suspected
      1. Azithromycin 500 mg IV every 24 hours OR
      2. Broad spectrum Fluoroquinolone
        1. Trovafloxacin 300 mg IV q24 hours
        2. Levofloxacin 500 mg IV q24 hours

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Ontology: Nosocomial pneumonia (C0949083)

Concepts Disease or Syndrome (T047)
SnomedCT 425464007
Dutch nosocomiale pneumonie
French Pneumonie nosocomiale
German nosokomiale Pneumonie
Italian Polmonite nosocomiale
Portuguese Pneumonia nosocomial
Spanish Neumonia nosocomial, neumonía nosocomial, neumonía hospitalaria (trastorno), neumonía hospitalaria
Japanese 院内肺炎, インナイハイエン
English Nosocomial pneumonia (disorder), Hospital acquired pneumonia, Nosocomial pneumonia, hospital-acquired pneumonia, hospital-acquired pneumonia (diagnosis), pneumonia hospital acquired, hospital acquired pneumonia, acquired hospital pneumonias, nosocomial pneumonia, nosocomial pneumonias, pneumonia nosocomial
Czech Nozokomiální pneumonie
Hungarian Nosocomialis pneumonia