Antibiotic Guide for Adult Hospital-acquired pneumonia

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Antibiotic Guide for Adult Hospital-acquired Pneumonia

Are you treating a hospital-acquired infection? Click here for a definition.
- If no, click here to go to the community-acquired pneumonia page.

Assess severity: Click here for a guide.

Microbiology:

Core pathogens (if no previous antibiotics):

Strep.pneumoniae, Haem.influenzae, Staph.aureus (MSSA)
Sensitive enteric Gram-negative bacilli

Additional pathogens to consider in certain circumstances:

Legionella	In immunocompromised patients or if there are features suggesting atypical infection. If suspected contact Medical Microbiologist
Pseudomonas aeruginosa	In immunocompromised patients, those recently on ICU, prior broad-spectrum antibiotic use or structural lung disease
Anaerobes	History suggestive of aspiration. See Aspiration Pneumonia
MRSA	Risk of MRSA if previous stay on ICU, inpatient on ward with endemic MRSA, patients on prior antibiotic therapy (especially quinolones) or patient from Nursing Home.

The Full Guideline "Nottingham Hospitals Antibiotic Guidelines for Adult Patients With Hospital Acquired Lower Respiratory Tract Infection and Aspiration Pneumonia" is available here.

Page last edited: 27/01/2009

Caution; the antibiotic doses recommended on this website are intended for adult patients with normal renal and liver function unless otherwise stated. Dosing advice for patients with renal impairment is available here.