3. Pneumonia types
The 2005 American Thoracic Society/Infectious Diseases Society
of America (ATS/IDSA) guidelines distinguish the following types
of pneumonia :
1. CAP
2. HAP VAP
3. HCAP
4. (HCAP)
a nonhospitalized patient with extensive healthcare contact, as
defined by one or more of the following:
1. Intravenous therapy, wound care, or intravenous
chemotherapy within the prior 30 days-
2. Residence in a nursing home or other long-term care
facility
3. Hospitalization in an acute care hospital for two or more
days within the prior 90 days-
4. Attendance at a hospital or hemodialysis clinic within the
prior 30 days
5.
6. Definition
(CAP) is defined as an acute infection of the pulmonary
parenchyma in a patient who has acquired the infection
in the community
7. Epidemiology
The overall rate of (CAP) in adults is --5.16 to 6.11 cases
per 1000 persons per year; the rate of CAP increases with
increasing age .
Seasonal variation, with more in winter.
Higher for men than for women and for black persons
compared with Caucasians.
The etiology of CAP varies by geographic region; however,
Streptococcus pneumoniae is the most common cause of
pneumonia worldwide.
Epidemiology of community-acquired pneumonia in Edmonton, Alberta: an emergency
departmentbasedstudy.-Marrie TJ, Huang JQCanRespirJ.2005;12(3):139.
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26. Bacteriology
Traditionally been divided into
●"Typical" organisms include
S. pneumoniae, H. influenzae, S. aureus, group A
streptococci, Moraxella catarrhalis, anaerobes, and aerobic
gram-negative bacteria.
●"Atypical pneumonia”
Legionella spp, M. pneumoniae, Chlamydophila (formerly
Chlamydia) pneumoniae, and C. psittaci; although imprecise,
we use this term because of its acceptance among clinicians.