Know Your Guidelines – Hospital and Ventilator Acquired Pneumonia

Paul Griner, MD, MACPGuideline Knowledge Check, Internal Medicine, Medical News

Internal Medicine Guidelines Knowledge Check hospital acquired pneumonia

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Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Internal Medicine Editor-in-Chief, Paul F. Griner, MD, MACP.

Based on Current Recommendations of the American Thoracic Association and the Infectious Diseases Society of America…

Have the recommendations for empiric antibiotic coverage for hospital acquired pneumonia (HAP) changed since the original guidelines by the American Thoracic Society and the Infectious Diseases Society of America were published in 2005?

Yes or No?

Try this review question and find out if you're following the most current guideline.

Guideline Review Question

In 2016, the American Thoracic Society and the Infectious Diseases Society of America updated the clinical practice guidelines for the treatment of Ventilator Associated Pneumonia (VAP) and Hospital Acquired Pneumonia (HAP).

In the management of patients with HAP and VAP, which one of the following choices correctly states a changed/new recommendation for the 2016 guidelines, as compared to the 2005 guidelines?

Answers:
Newly added for 2016: the clinical pulmonary infection score (CPIS) should be used to support/refute the diagnosis of VAP and HAP.

Changed for 2016: The definition of VAP has been narrowed.

Elevated in importance for 2016: All hospitals should create records of local antibiotic resistance via antibiograms.

Changed for 2016: Longer course antibiotic therapy should be used for most patients with HAP and VAP.

Answer Explanation & References:


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With each update of national clinical practice guidelines, some recommendations change and many remain unchanged. Med-Challenger Guideline Knowledge Checks help you know both what is new and what has stayed the same in the most recent guidelines pertinent to each medical specialty.

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About the Author:

Paul Griner MD, MACP graduated from the University of Rochester School of Medicine and completed his residency at the Massachusetts General Hospital, Boston, MA. He returned to Rochester as Chief Resident in Medicine and Hematology Fellow and remained in their Department of Medicine, rising to Professor. He served as a Senior Lecturer at Harvard Medical School and consultant at the Massachusetts General Hospital where he introduced a mentoring program for the faculty of General Internal Medicine.

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