HAP Flashcards
1
Q
HAP Definition
A
They got it in the hospital.
PNA infection acquired at least 48h after hospitilization
2
Q
What are pt’s w/ HAP at increased risk for?
A
- Increased mortality
- MDR pathogens and MRSA
- MDR pathogens w/o MRSA
- MRSA alone
think MRSA and MDR combinations
3
Q
RFs for increased mortality
A
Ventilator or septic shock
4
Q
RFs for MDR pseudomonas pathogens, other gram - bacilli, AND MRSA
A
IV abx past 90 d
5
Q
RFs for MDR pseudomonas pathogens and other gram - bacilli W/O MRSA
A
- Structural dz
- Positive gram - stain
- Current colonization or prior colonization
6
Q
RFs for MRSA
A
- Tx in unit where more than 20% of S. aureus or methycillin resistant
- Tx in unit where MRSA prevalence is unknown
- Current colonization or prior colonization
7
Q
What is healthcare-associated PNA
A
Was used to ID pt’s at greater risk for MDR pathogens but was overly sensitive and led to increased broad spectrum abx use
