Podcast #74: CAP vs. HCA Pneumonia

96eac317-004d-4257-ac58-d313ec4d83acRun Time: 11 minutes

Author: Dr. Donald Stader

Educational Pearls:

  • Pneumonia is the 8th leading cause of death in the United States – Pneumonia is coined an old man’s best friend.
  • Pneumonia is classified by where it is, what type of infection it is, walking or classic, and the big one is community acquired vs. health care associated.
  • For admission use the CURB 65 rule: Confusion, Uremia, RR >30, BP <90, and age >65 – each is graded on a 0-1 scale – 0-1 score can be followed as an outpatient, 1-3 should be admitted, and 3-4 need to be in the ICU.
  • Often HCA pneumonia is due to drug resistant bug and may be caused by passive or active aspiration while in a healthcare setting – patients may need big guns like Zosyn and Inapenum.
  • Elevation of the head of the bed and suctioning off secretions can help reduce the risk of HCA pneumonia in the ED.

Link to Podcast:  http://medicalminute.madewithopinion.com/cap-vs-hca-pneumonia/

References:  http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/infectious-disease/health-care-associated-pneumonia/

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