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Neumonía adquirida en el hospital - Symptom

Nombres alternativos

Neumonía nosocomial o intrahospitalaria; Neumonía asociada al uso de un respirador; Neumonía asociada a la atención médica

Síntomas:

Tos que puede producir esputo mucoso, verdoso o purulento (flema)
Escalofríos
Fatiga con facilitad
Sudoración excesiva (raras veces)
Fiebre
Molestia general, inquietud o indisposición (malestar general)
Dolor de cabeza
Dolor y rigidez articular (raras veces)
Inapetencia
Rigidez muscular (raras veces)
Náuseas y vómitos
Dolor de pecho agudo o punzante que empeora con la respiración profunda o la tos
Dificultad para respirar

Pruebas y exámenes:

Un examen físico muestra:

Crepitaciones o disminución de los ruidos respiratorios cuando se ausculta el tórax con un estetoscopio.
Disminución del oxígeno.
Dificultad respiratoria.

Los exámenes practicados pueden ser:

Gasometría arterial.
Hemocultivos.
Radiografía o tomografía computarizada del tórax.
Conteo sanguíneo completo (CSC).
Cultivo de esputo.
Tinción de Gram en esputo.

Neumonía adquirida en el hospital

Sistema respiratorio

Reviewed last on: 2/19/2011
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, Unviersity of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

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.

Craven DE, Chroneou A. Nosocomial pneumonia. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 303.

Chastre J, Luyt CE. Ventilator-associated pneumonia. In: Mason RJ, Broaddus VC, Martin TR, et al. Murray & Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 33.

Alta de adultos con neumonía

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