HAP and VAP

Hospital-acquired pneumonia (HAP) is defined as a pneumonia not incubating at the time of hospital admission and occurring 48 hours or more after admission.

Ventilator-associated pneumonia (VAP) is defined as a pneumonia occurring greater than 48 hours after endotracheal intubation.

• Prior IV antibiotic use within 90 days

• Ventilatory support for HAP

• Septic shock

• Acute respiratory distress syndrome preceding VAP

• Five or more days of hospitalization prior to the occurrence of VAP

• Acute renal replacement therapy prior to VAP onset

• Prior IV antibiotic use within 90 days

• High risk for mortality (need for ventilatory support due to pneumonia and septic shock)

• Structural lung disease (i.e. bronchiectasis, cystic fibrosis, COPD)

• Prior infection with Pseudomonas

• Prior IV antibiotic use within 90 days

• Unit has greater than 20% of S. aureus isolates that are methicillin resistant

• High risk for mortality (need for ventilatory support due to pneumonia and septic shock)

• Known colonization with MRSA