Hutt E, Kramer AM (August 2002). "Evidence-based guidelines for management of nursing home-acquired pneumonia". J Fam Pract. 51 (8): 709–16. PMID 12184969.

Mehr DR, Zweig SC, Kruse RL, etal. (October 1998). "Mortality from lower respiratory infection in nursing home residents. A pilot prospective community-based study". J Fam Pract. 47 (4): 298–304. PMID 9789516.

Flying Scholarships 2024

Demonstrate proof of acceptance into HCAP – a conditional offer of employment or letter from a hiring manager confirming acceptance into the Health Career Access Program (HCAP), working as a Health Care Support Worker (HCSW). * Please note, offers may be contingent upon confirmation of requirements – for example, passing an English proficiency test. In these cases, conditional offers are accepted for an applicant to receive the stipend. For initial treatment in the nursing home, a fluoroquinolone antibiotic suitable for respiratory infections ( moxifloxacin, for example), or amoxicillin with clavulanic acid plus a macrolide has been suggested. [12] In a hospital setting, injected ( parenteral) fluoroquinolones or a second- or third-generation cephalosporin plus a macrolide could be used. [12] Other factors that need to be taken into account are recent antibiotic therapy (because of possible resistance caused by recent exposure), known carrier state or risk factors for resistant organisms (for example, known carrier of MRSA or presence of bronchiectasis predisposing to Pseudomonas aeruginosa), or suspicion of possible Legionella pneumophila infection (legionnaires disease). [23] Pneumonia as seen on chest x-ray. A: Normal chest x-ray. B: Abnormal chest x-ray with shadowing from pneumonia in the right lung (left side of image).

Usually initial therapy is empirical. [3] If sufficient reason to suspect influenza, one might consider oseltamivir. In case of legionellosis, erythromycin or fluoroquinolone. [1]Bacteria have been the most commonly isolated pathogens, although viral and fungal pathogens are potentially found in immunocompromised hosts (patients on chronic immunosuppressed medications, solid organ and bone marrow transplant recipients). In general, the distribution of microbial pathogens varies among institutions, partly because of differences in patient population and local patterns of anti microbial resistance in hospitals and critical care units' [18] Common bacterial pathogens include aerobic GNB, such as Pseudomonas aeruginosa, Acinetobacter baumanii, Klebsiella pneumoniae, Escherichia coli as well as gram-positive organisms such as Staphylococcus aureus. In patients with an early onset pneumonia (within 5 days of hospitalization), they are usually due to anti microbial-sensitive bacteria such as Enterobacter spp, E. coli, Klebsiella spp, Proteus spp, Serratia mare scans, community pathogens such as Streptococcus pneumoniae, Haemophilus influenzae, and methicillin-sensitive S. aureus should also be considered. [19] [20] Rouille the JL. Ventilator-associated pneumonia: an comprehensive review. Hosp Pract (Minneap) 2012; 40:165–175 The pass standard for the Range Test includes a four-inch group on a six-inch bull target at 100 metres prone, together with six shots (two shots in each of three positions) in the killing zone on the HCAP deer target. Each candidate, having first satisfied the Range Test criteria for accuracy of shooting, must then satisfy HCAP Safety Assessors in an oral examination on safety issues. continued… Muder RR, Brennen C, Swenson DL, Wagener M (November 1996). "Pneumonia in a long-term care facility. A prospective study of outcome". Arch. Intern. Med. 156 (20): 2365–70. doi: 10.1001/archinte.156.20.2365. PMID 8911243.

I'm not really adding something to the answers, and surely you already have what you need, but I'll leave this here just for people having the same problem who will eventually end up here.No candidate may proceed to attempt the Range Test without first having succeeded at the MCQ stage of HCAP assessment. If you are interested in participating in this program, your first step is to: Submit an Expression of Interest Now Healthcare-associated pneumonia can be defined as pneumonia in a patient with at least one of the following risk factors: a b c Mylotte JM (2006). "Nursing home-acquired pneumonia: update on treatment options". Drugs Aging. 23 (5): 377–90. doi: 10.2165/00002512-200623050-00002. PMID 16823991. S2CID 39009527.