Nosocomial Pneumonia - kante

[ArchivalUser]

What is the clinical definition of Nosocomial Pneumonia ?

After how many hrs of hosp admission ?
What procedures increases the risk for NP ?
Treatment ?

[ArchivalUser]

eMedicine Source

A working definition of nosocomial pneumonia (NP) is that of a new pulmonary infiltrate that occurs after one week of hospitalization and that resembles a bacterial pneumonia on the chest radiograph.

NP is caused by different pathogens, the aerobic gram-negative bacilli (ie, excluding H influenzae). Pseudomonas aeruginosa is not the most common cause of NP but is the most important organism in terms of mortality and morbidity. Staphylococcus aureus (ie, methicillin-susceptible S aureus [MSSA], methicillin-resistant S aureus [MRSA]) and anaerobic organisms are not significant contributors to NP.

Ordinarily, treat NP for 14 days. Cefepime. Other conbinations of drugs can be used.

Hope this helps
Klebsiella

[ArchivalUser]

pneumonia developing more than 48 hrs after hospital admission and excludes any infection present at the time of admission...
fever cough leukocytocis purulent sputum any 2 present
new or progressive parenchymal infiltrate present

[ArchivalUser]

Thanks Dranto even I was confuse after reading Klebsilla NP after 7 days. But not sure its is after 48 hrs of addmission