Indicators of potentially drug resistant bacteria in severe nursing home acquired pneumonia

Importance of Functional Assessment in the Management of Community-acquired and Healthcare-associated Pneumonia

“…El Solh et al previously analyzed 88 patients with culture-positive, severe nursing home-acquired pneumonia (NHAP) and reported that the degree of ADL decline was one of the important predictors of drug-resistant pathogens (9). In addition, Lim et al evaluated 437 patients with NHAP and CAP in the UK and found that NHAP patients had greater mortality related to poor functional status (10).…”

Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage

“…GBS has been detected in dental plaques at a higher rate in hospitalized and bedridden patients with swallowing or speech disorders [31]. Another study showed reduction of GBS health-care-associated pneumonia in patients undergoing daily oral hygiene [32]. Moreover, after promising Phase I trial, GBS conjugate vaccination in high-risk older adults may be possible [33].…”

Healthcare‐Associated Pneumonia: Epidemiology, Microbiology and Clinical Outcomes

“…El Solh et al described, in a study of 95 elderly pneumonia patients, that those admitted from a nursing home had a higher frequency of enteric Gram-negative organisms and S. aureus, and a lower frequency of pneumococcus compared to those admitted from the community [27]. The same group of investigators showed, in a different study [28] of patients with severe pneumonia who had been admitted from a nursing home, that the frequency of MDR pathogens was increased in those who had recently received antibiotics and in those who also had a worse functional status (defined by the performance of activities of daily living). CAP -community-acquired pneumonia; HCAP -healthcare associated pneumonia; p < 0.01 for all comparisons with HCAP Source: Adapted from Kollef et al [20].…”