TY - JOUR
T1 - Pneumonia
T2 - Challenges in the definition, diagnosis, and management of disease
AU - Ottosen, Julie
AU - Evans, Heather
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Defining health care-associated pneumonia, which includes both hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), is problematic and controversial. Aspiration pneumonia is often included as a subtype of HAP but may be related to community-acquired aspiration events. Scoring systems exist and new surveillance guidelines have been implemented to make early recognition of pneumonia more precise and objective. Management and prevention should follow recommendations, including early empirical therapy, targeted therapy, and limited duration of treatment. Patients with trauma present a challenge to the diagnosis and management of pneumonia, because of increased risk for aspiration and underlying chest and pulmonary injury.
AB - Defining health care-associated pneumonia, which includes both hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), is problematic and controversial. Aspiration pneumonia is often included as a subtype of HAP but may be related to community-acquired aspiration events. Scoring systems exist and new surveillance guidelines have been implemented to make early recognition of pneumonia more precise and objective. Management and prevention should follow recommendations, including early empirical therapy, targeted therapy, and limited duration of treatment. Patients with trauma present a challenge to the diagnosis and management of pneumonia, because of increased risk for aspiration and underlying chest and pulmonary injury.
KW - Aspiration
KW - Hospital-acquired pneumonia (HAP)
KW - Infection
KW - Pulmonary
KW - Ventilator-associated pneumonia (VAP)
UR - http://www.scopus.com/inward/record.url?scp=84923649312&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84923649312&partnerID=8YFLogxK
U2 - 10.1016/j.suc.2014.09.001
DO - 10.1016/j.suc.2014.09.001
M3 - Review article
C2 - 25440125
AN - SCOPUS:84923649312
SN - 0039-6109
VL - 94
SP - 1305
EP - 1317
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 6
ER -