HCAP in Long-Term Care Facilities

Empiric Therapy for Healthcare-Associated Pneumonia (HCAP) in the Long-Term Care Setting

Most common pathogens responsible for HCAP in the LTC setting:

  • Streptococcus pneumoniae
  • Haemophilus influenzae
  • Methicillin sensitive Staphylococcus aureus (MRSA)
  • Antibiotic-sensitive enteric gram-negative bacilli
    • Escherichia coli
    • Klebsiella pneumonia
    • Enterobacter species
    • Proteus species
    • Serratia marcescens
  • Multi Drug Resistant Pathogens
    • Pseudomonas aeruginosa
    • Klebsiella pneumonia
    • Acinetobacter
    • Methicillin resistant Staphylococcus aureus (MRSA)

Preferred combination antibiotic therapy:

  • Antipseudomonal cephalosporin (cefepime, ceftazidime) or Antipseudomonal carbepenem (imipenem or meropenem) or Beta lactam (piperacillin tazobactam)
    • Plus Antipseudomonal fluoroquinolone (Ciprofloxacin or levofloxacin)
  • Aminoglycoside (amikacin, gentamicin, or tobramycin)
    • Plus linezolid or vancomycin
Comments
One Response to “HCAP in Long-Term Care Facilities”
  1. Awesome! Seriously worthwhile content. I will be bookmarking your blog immediately. Kudos!

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