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Surg. Clin. North Am. · Dec 2014
ReviewPneumonia: challenges in the definition, diagnosis, and management of disease.
- Julie Ottosen and Heather Evans.
- Division of Trauma, Critical Care, and Burns, Harborview Medical Center, 325 Ninth Avenue, Box 359796, Seattle, WA 98104, USA.
- Surg. Clin. North Am. 2014 Dec 1; 94 (6): 1305-17.
AbstractDefining health care-associated pneumonia, which includes both hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), is problematic and controversial. Aspiration pneumonia is often included as a subtype of HAP but may be related to community-acquired aspiration events. Scoring systems exist and new surveillance guidelines have been implemented to make early recognition of pneumonia more precise and objective. Management and prevention should follow recommendations, including early empirical therapy, targeted therapy, and limited duration of treatment. Patients with trauma present a challenge to the diagnosis and management of pneumonia, because of increased risk for aspiration and underlying chest and pulmonary injury. Copyright © 2014 Elsevier Inc. All rights reserved.
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