Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Feb 8;6(1):27-37.
doi: 10.14336/AD.2014.0127. eCollection 2015 Feb.

Healthcare-associated Pneumonia and Aspiration Pneumonia

Kosaku Komiya  1 , Hiroshi Ishii  2 , Jun-Ichi Kadota  3
Affiliations
Review

Healthcare-associated Pneumonia and Aspiration Pneumonia

Kosaku Komiya et al. Aging Dis. .

Abstract

Healthcare-associated pneumonia (HCAP) is a new concept of pneumonia proposed by the American Thoracic Society/Infectious Diseases Society of America in 2005. This category is located between community-acquired pneumonia and hospital-acquired pneumonia with respect to the characteristics of the causative pathogens and mortality, and primarily targets elderly patients in healthcare facilities. Aspiration among such patients is recognized to be a primary mechanism for the development of pneumonia, particularly since the HCAP guidelines were published. However, it is difficult to manage patients with aspiration pneumonia because the definition of the condition is unclear, and the treatment is associated with ethical aspects. This review focused on the definition, prevalence and role of aspiration pneumonia as a prognostic factor in published studies of HCAP and attempted to identify problems associated with the concept of aspiration pneumonia.

Keywords: aspiration pneumonia; diagnosis; elderly; healthcare-associated pneumonia.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Risk factors associated with aspiration pneumonia. Abbreviations: CNS= central nervous system
Figure 2.
Figure 2.
Diagnostic procedures and types of intervention for dysphagia and aspiration pneumonia.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. American Thoracic Society. Infectious Diseases Society of America Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:388–416. - PubMed
    1. Kollef MH, Shorr A, Tabak YP, Gupta V, Liu LZ, et al. Epidemiology and outcomes of health-care-associated pneumonia: results from a large US database of culture-positive pneumonia. Chest. 2005;128:3854–3862. - PubMed
    1. Seymann GB, Di Francesco L, Sharpe B, Rohde J, Fedullo P, et al. The HCAP gap: differences between self-reported practice patterns and published guidelines for health care-associated pneumonia. Clin Infect Dis. 2009;49:1868–1874. - PubMed
    1. Grenier C, Pepin J, Nault V, Howson J, Fournier X, et al. Impact of guideline-consistent therapy on outcome of patients with healthcare-associated and community-acquired pneumonia. J Antimicrob Chemother. 2011;66:1617–1624. - PubMed
    1. Attridge RT, Frei CR. Health care-associated pneumonia: an evidence-based review. Am J Med. 2011;124:689–697. - PubMed

LinkOut - more resources