{"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\/chcap\/","title":{"rendered":"Criteria for Health Care\u2013Associated Pneumonia"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>Health care-associated pneumonia has been categorized as a discrete entity, with the goal of\u00a0<span style=\"line-height: 1.3em;\">identifying patients with pneumonia that develops outside the hospital yet is caused by pathogens <\/span><span style=\"line-height: 1.3em;\">usually associated with hospital-acquired pneumonia or even ventilator-associated pneumonia, <\/span><span style=\"line-height: 1.3em;\">including methicillin-resistant Staphylococcus aureus <\/span><span style=\"line-height: 1.3em;\">(MRSA) and multidrug-resistant (MDR) gram-negative pathogens. <\/span><br \/>\n<!--more--><br \/>\n<strong>Criteria for Health Care\u2013Associated Pneumonia.<\/strong><br \/>\n<strong><br \/>\nOriginal criteria<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Hospitalization for &gt;\/=2 days during the previous 90 days<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Residence in a nursing home or extended-care facility<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Long-term use of infusion therapy at home, including <\/span><span style=\"line-height: 1.3em;\">antibiotics<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Hemodialysis during the previous 30 days<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Home wound care<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Family member with multidrug-resistant pathogen<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Immunosuppressive disease or therapy<\/span><\/li>\n<\/ul>\n<p><strong>Pneumonia-specific criteria<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Hospitalization for &gt;\/=2 days during the previous 90 days<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Antibiotic use during the previous 90 days<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Nonambulatory status<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Tube feedings<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Immunocompromised status<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Use of gastric acid suppressive agents<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/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>Created 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/2375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2375"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2375\/revisions"}],"predecessor-version":[{"id":9290,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2375\/revisions\/9290"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}