Hospital-acquired pneumonia (HAP) is a frequent complication of hospitalisation. Due to rising multidrug resistant bacteria an appropriate, empiric and targeted therapy is essential and requires an accurate assessment of risk for multidrug resistant bacteria. A targeted, temporal therapy is indispensable and should begin after a focussed diagnosis. Re-evaluation of therapy is important, as clinical course, microbiological and laboratory results might lead to de-escalation of therapy. In this review article the current German guidelines on the diagnosis and therapy of hospital-acquired pneumonia are summarized. Special focus is put on targeted, risk-adapted therapy.
- Tello, K.
- Richter, M. J.
- Seeger, W.
- Hecker, M.
Keywords
- Antibiotic resistance
- Bacterial infections
- Bronchial pneumonia
- Methicillin-resistant staphylococcus aureus
- Nosocomial infections