Pneumonia: Challenges in the definition, diagnosis, and management of disease

Julie Ottosen, Heather Evans

Research output: Contribution to journalReview articlepeer-review

25 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1305-1317
Number of pages13
JournalSurgical Clinics of North America
Volume94
Issue number6
DOIs
StatePublished - Jan 1 2014

Keywords

  • Aspiration
  • Hospital-acquired pneumonia (HAP)
  • Infection
  • Pulmonary
  • Ventilator-associated pneumonia (VAP)

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