CAP (ICU)

Note

Culture of pleural fluid and/or endotracheal secretions strongly recommended

During annual influenza epidemics, consider concurrent testing for influenza and, if clinically indicated, treatment with Oseltamivir

If Mycoplasma or Chlamydia strongly suspected, please send appropriate testing.

Infection Prevention and Control

Droplet / Contact Precautions

If viral etiology ruled out and clinical symptoms indicate bacterial cause and patient improving then precautions may be discontinued after 24 hours of antimicrobial therapy

Empiric Antimicrobials

PLUS

*If pneumatoceles or MSSA suspected. Re-evaluate once cultures become available.

PLUS

*If MRSA suspected. Re-evaluate once cultures become available.

Usual Duration

14 - 28 days depending on complications including oral conversion when afebrile for 48 hours