{"id":2375,"date":"2014-02-20T14:39:53","date_gmt":"2014-02-20T14:39:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/chcap\/"},"modified":"2025-05-13T20:27:29","modified_gmt":"2025-05-13T20:27:29","slug":"chcap","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/chcap\/","title":{"rendered":"Criterios para Neumon\u00eda Intra-Hospitalaria"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La neumon\u00eda asociada a la atenci\u00f3n de salud se ha categorizado como una entidad separada, con el objetivo de identificar a los pacientes con neumon\u00eda que se desarrollan fuera del hospital y que son causadas por pat\u00f3genos generalmente asociados con la neumon\u00eda adquirida en el hospital o incluso la neumon\u00eda asociada a la ventilaci\u00f3n, incluyendo Staphylococcus\u00a0aureus\u00a0resistente a la meticilina (MRSA) y\u00a0pat\u00f3genos gramnegativos multirresistentes.<br \/>\n<!--more--><br \/>\n<strong>Criterios para Neumon\u00eda Nosocomial<\/strong><br \/>\n<strong><br \/>\nCriterios originales<\/strong><\/p>\n<ul>\n<li>Hospitalizaci\u00f3n por &gt;\/= 2 d\u00edas durante los \u00faltimos 90 d\u00edas<\/li>\n<li>Residencia en un hogar de ancianos o centro de atenci\u00f3n prolongada<\/li>\n<li>Uso a largo plazo de terapia de infusi\u00f3n en el hogar, incluidos antibi\u00f3ticos<\/li>\n<li>Hemodi\u00e1lisis durante los \u00faltimos 30 d\u00edas<\/li>\n<li>Curaciones de heridas en el hogar<\/li>\n<li>Miembro de la familia con pat\u00f3geno multirresistente<\/li>\n<li>Enfermedad\u00a0o terapia\u00a0inmunosupresora<\/li>\n<\/ul>\n<p><strong>Criterios espec\u00edficos de neumon\u00eda<\/strong><\/p>\n<ul>\n<li>Hospitalizaci\u00f3n por &gt;\/= 2 d\u00edas durante los \u00faltimos 90 d\u00edas<\/li>\n<li>Uso de antibi\u00f3ticos durante los \u00faltimos 90 d\u00edas<\/li>\n<li>Estado no ambulatorio<\/li>\n<li>Alimentaci\u00f3n por sonda<\/li>\n<li>Inmunodepresi\u00f3n<\/li>\n<li>Uso de agentes supresores de \u00e1cidos g\u00e1stricos<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li><span style=\"line-height: 1.3em;\">Wunderink RG, Waterer GW. Clinical practice. Community-acquired pneumonia. N Engl J Med. 2014 Feb 6;370(6):543-51. <\/span><a style=\"line-height: 1.3em;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24499212\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li><span style=\"line-height: 1.3em;\">American Thoracic Society; Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005 Feb 15;171(4):388-416. <\/span><a style=\"line-height: 1.3em;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15699079\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li><span style=\"line-height: 1.3em;\">Shindo Y, Ito R, Kobayashi D, Ando M, Ichikawa M, Shiraki A, Goto Y, Fukui Y, Iwaki M, Okumura J, Yamaguchi I, Yagi T, Tanikawa Y, Sugino Y, Shindoh J, Ogasawara T, Nomura F, Saka H, Yamamoto M, Taniguchi H, Suzuki R, Saito H, Kawamura T, Hasegawa Y. Risk factors for drug-resistant pathogens in community-acquired and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2013 Oct 15;188(8):985-95. [<\/span><a style=\"line-height: 1.3em;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23855620\/\" target=\"_blank\" rel=\"noopener noreferrer\">Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Feb 20, 2014.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La neumon\u00eda asociada a la atenci\u00f3n de salud se ha categorizado como una entidad separada, con el objetivo de identificar a los pacientes con neumon\u00eda que se desarrollan fuera del hospital y que son causadas por pat\u00f3genos generalmente asociados con la neumon\u00eda adquirida en el hospital o incluso la neumon\u00eda asociada a la ventilaci\u00f3n, incluyendo [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[988,629,16,15,987,986,985,984,989],"class_list":["post-2375","post","type-post","status-publish","format-standard","hentry","category-infetious-disease","tag-associated","tag-care","tag-criteria","tag-criterios","tag-health","tag-intrahospitalaria","tag-neumonia","tag-pneumonia","tag-salud"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2375"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2375\/revisions"}],"predecessor-version":[{"id":9290,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2375\/revisions\/9290"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}