Which physical findings are characteristic of nosocomial pneumonia?

Updated: Apr 15, 2021
  • Author: Kartika Shetty, MD, FACP; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

Answer

Physical findings in nosocomial pneumonia relate to the pneumonia’s distribution in the chest. Physically, lobar lesions caused by nosocomial pneumonia mimic those caused by any other type of pneumonia (eg, rales in the location of the pneumonic process). A 10-year retrospective study by Qi et al found that the most common clinical manifestation and signs of pneumonia were fever/cough and pulmonary rales, occurring in 491/543 and 344/543 patients.29 Symptoms can also include components of the CURB-65 scoring system, including confusion, blood urea >7 mmol/L, respiratory rate >30 breaths/min, systolic blood pressure < 90 mmHg or diastolic blood pressure < 60 mmHg, and age >65. A score of less than or equal to 2 classified a patient as low-risk, while a score of greater or equal to 3 indicated a high-risk patient.


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