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Hospital-acquired pneumonia - Overview

Alternative Names

Nosocomial pneumonia; Ventilator-associated pneumonia

Definition of Hospital-acquired pneumonia:

Hospital-acquired pneumonia is an infection of the lungs contracted during a hospital stay.

Causes, incidence, and risk factors:

Pneumonia is a very common illness. It is caused by many different germs and can range in seriousness from mild to life-threatening.

Hospital-acquired pneumonia tends to be more serious, because a patient's defense mechanisms against infection are often impaired during a hospital stay. In addition, the types of germs present in a hospital are frequently more dangerous than those encountered in the community. Hospital-acquired pneumonia occurs more commonly in patients who require a respirator to help them breathe. It is also known as ventilator-associated pneumonia.

Risk factors for hospital-acquired pneumonia include:

  • Alcoholism
  • Being on a breathing machine
  • Immunosuppression from medications or disease
  • Inhaling material into the lungs (aspiration)
  • Older age
  • Recent illness
  • Reviewed last on: 8/3/2007
  • Allen J. Blaivas, DO, Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network.

References

American Thoracic Society. 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.