title: Pneumonia in the long-term care setting: etiology, management, and prevention.
abstract: 1.Nursing-home acquired pneumonia (NHAP) is a major cause of death and disability among elderly nursing home residents, despite the availability of new antimicrobials and diagnostic techniques. 2. Elderly individuals with NHAP have vague clinical presentations and unique institutional limitations can lead to delays in diagnosis, treatment, and poor resident outcomes. 3. Successful management of the resident with pneumonia includes choice of antibiotic therapy, excellent nursing care, and thoughtful consideration of treatment setting. 4. Preventive strategies to reduce the risk of NHAP include attention to vaccination status and oral hygiene care to reduce bacterial colonization of potential respiratory pathogens.
authors.affiliation: University of Rochester School of Nursing, Rochester, New York 14642, USA.
authors.forename: Patricia Ryan
authors.initials: PR
authors.lastname: Coleman
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003428:Cross Infection / Q000175:diagnosis / Q000188:drug therapy / Q000451:nursing / Q000517:prevention & control*; D006707:Homes for the Aged; D006801:Humans; D009730:Nursing Assessment; D009735:Nursing Homes; D011014:Pneumonia / Q000517:prevention & control*; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents