Hospital Acquired Pneumonia/Nosocomial Pneumonia- Management

Hospital-Acquired Pneumonia (Nosocomial Pneumonia)

Hospital-acquired pneumonia (HAP), also known as nosocomial pneumonia, is pneumonia that develops 48 hours or more after hospital admission and was not incubating at the time of admission.

Clinical Presentation

• Fever

• Increased respiratory rate (tachypnea)

• Shortness of breath

Pharmacological Treatment

Empirical antibiotic treatment should be initiated while awaiting bacteriological results.

Option 1: Ciprofloxacin

• Dose: 400 mg

• Route: Intravenous (IV)

• Frequency: Every 12 hours

• Duration: 7 days

OR

Option 2: Ceftriaxone + Sulbactam (Fixed-Dose Combination)

• Dose: 1.5 g

• Route: Intravenous (IV)

• Frequency: Every 12 hours

• Duration: 7 days

Note

In specialized unit management of CAP/HAP can be changed with supportive culture and sensitivity done, this may necessitate use of other broader spectrum antibiotics 48-72hours until the results are obtained