Pneumonia diagnostic criteria: Difference between revisions

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* Atleast 2 of the four: fever, cough, dyspnea, chest pain.
* Atleast 2 of the four: fever, cough, dyspnea, chest pain.
==Healthcare associated pneumonia diagnostic criteria==
==Healthcare associated pneumonia diagnostic criteria==
[[Community acquired pneumonia]] should be distinguished from healthcare-associated pneumonia as these diseases have different causative organism, prognosis, diagnostic and treatment guidelines.
According to the Infectious Diseases Society of America and the American Thoracic Society healthcare-associated pneumonia includes any patient who meet the below criteria <ref name="pmid21663884">{{cite journal |author=Attridge RT, Frei CR |title=Health care-associated pneumonia: an evidence-based review |journal=[[The American Journal of Medicine]] |volume=124 |issue=8 |pages=689–97 |year=2011 |month=August |pmid=21663884 |doi=10.1016/j.amjmed.2011.01.023 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(11)00291-9 |accessdate=2012-09-02}}</ref>
According to the Infectious Diseases Society of America and the American Thoracic Society healthcare-associated pneumonia includes any patient who meet the below criteria <ref name="pmid21663884">{{cite journal |author=Attridge RT, Frei CR |title=Health care-associated pneumonia: an evidence-based review |journal=[[The American Journal of Medicine]] |volume=124 |issue=8 |pages=689–97 |year=2011 |month=August |pmid=21663884 |doi=10.1016/j.amjmed.2011.01.023 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(11)00291-9 |accessdate=2012-09-02}}</ref>
* Hospitalized in an acute care hospital for 2 or more days within 90 days of the infection;
* Hospitalized in an acute care hospital for 2 or more days within 90 days of the infection;

Revision as of 19:33, 7 September 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Community acquired pneumonia should be distinguished from healthcare-associated pneumonia as these diseases have different causative organism, prognosis, diagnostic and treatment guidelines.

Diagnostic criteria community acquired pneumonia

Patient who has not been hospitalized or in an institutional setting for the past 2 weeks and have the following findings:

  • CXR findings of a new infiltrate. Although there is no gold standard for the diagnosis of community acquired pneumonia (CAP), a new infiltrate on chest radiograph in the setting of acute respiratory complaints (e.g., cough and dyspnea) is considered highly suggestive of CAP.
  • Atleast 2 of the four: fever, cough, dyspnea, chest pain.

Healthcare associated pneumonia diagnostic criteria

According to the Infectious Diseases Society of America and the American Thoracic Society healthcare-associated pneumonia includes any patient who meet the below criteria [1]

  • Hospitalized in an acute care hospital for 2 or more days within 90 days of the infection;
  • Resided in a nursing home or long-term care facility;
  • Received recent intravenous antibiotic therapy, chemotherapy, or wound care within the past 30 days of the current infection;
  • Attended a hospital or hemodialysis clinic

References

  1. Attridge RT, Frei CR (2011). "Health care-associated pneumonia: an evidence-based review". The American Journal of Medicine. 124 (8): 689–97. doi:10.1016/j.amjmed.2011.01.023. PMID 21663884. Retrieved 2012-09-02. Unknown parameter |month= ignored (help)

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