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Semin Respir Crit Care Med 2009; 30(1): 086-091
DOI: 10.1055/s-0028-1119812
© Thieme Medical Publishers

Prevention Strategies for Healthcare-Associated Pneumonia

Lee E. Morrow1
  • 1Division of Pulmonary, Critical Care, and Sleep Medicine, Creighton University Medical Center, Omaha, Nebraska
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Publication History

Publication Date:
06 February 2009 (online)

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ABSTRACT

Healthcare-associated pneumonia (HCAP) represents one of the largest subsets of patients with pneumonia. Based on epidemiological projections for the aging U.S. population, the number of hospitalizations for HCAP is expected to increase exponentially for the next several decades. The unique risk factors for colonization with resistant pathogens in these patients provide multiple opportunities for HCAP prevention. However, our current understanding of the most effective prevention measures is woefully inadequate and constitutes an extrapolation from studies done in community-acquired and hospital-acquired pneumonia patients. This review explores common prevention strategies that may be applicable to HCAP, highlights areas of controversy that require further study, and describes several areas of ongoing novel investigation.

KEYWORDS

Pneumonia - cross-infection - prevention and control - nursing homes

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Lee E MorrowM.D. M.Sc. 

Division of Pulmonary, Critical Care, and Sleep Medicine, Creighton University Medical Center

601 North 30th St., Ste. #3820, Omaha, NE 68131

Email: lmorrow@creighton.edu