Health care-associated pneumonia: Identification and initial management in the ED

Abrahamian, F. M., Deblieux, P. M., Emerman, C. L., Kollef, M. H., Kupersmith, E., Leeper, K. V. Jr., David Paterson and Shorr, A. F. (2008) Health care-associated pneumonia: Identification and initial management in the ED. American Journal of Emergency Medicine, 26 6: 1-11. doi:10.1016/j.ajem.2008.03.015

Author Abrahamian, F. M.
Deblieux, P. M.
Emerman, C. L.
Kollef, M. H.
Kupersmith, E.
Leeper, K. V. Jr.
David Paterson
Shorr, A. F.
Title Health care-associated pneumonia: Identification and initial management in the ED
Journal name American Journal of Emergency Medicine   Check publisher's open access policy
ISSN 0735-6757
Publication date 2008-02-06
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.ajem.2008.03.015
Open Access Status Not yet assessed
Volume 26
Issue 6
Start page 1
End page 11
Total pages 11
Editor Douglas White
Place of publication Philadelphia, PA, United States
Publisher W. B. Saunders
Language eng
Subject 920109 Infectious Diseases
110309 Infectious Diseases
Abstract Traditionally, pneumonia is categorized by epidemiologic factors into community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), and ventilator-associated pneumonia (VAP). Microbiologic studies have shown that the organisms which cause infections in HAP and VAP differ from CAP in epidemiology and resistance patterns. Patients with HAP or VAP are at higher risk for harboring resistant organisms. Other historical features that potentially place patients at a higher risk for being infected with resistant pathogens and organisms not commonly associated with CAP include history of recent admission to a health care facility, residence in a long-term care or nursing home facility, attendance at a dialysis clinic, history of recent intravenous antibiotic therapy, chemotherapy, and wound care. Because these "risk factors" have health care exposure as a common feature, patients presenting with pneumonia having these historical features have been more recently categorized as having health care-associated pneumonia (HCAP). This publication was prepared by the HCAP Working Group, which is comprised of nationally recognized experts in emergency medicine, infectious diseases, and pulmonary and critical care medicine. The aim of this article is to create awareness of the entity known as HCAP and to provide knowledge of its identification and initial management in the emergency department. © 2008 Elsevier Inc. All rights reserved.
Keyword Emergency Medicine
Emergency Medicine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: UQ Centre for Clinical Research Publications
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Citation counts: TR Web of Science Citation Count  Cited 23 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 29 Mar 2009, 19:47:57 EST by Carmen Buttery on behalf of UQ Centre for Clinical Research