Hospital-acquired pneumonia (HAP) in ICD10: Difference between revisions

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 Do you need to follow the same guidelines for acceptable sources for cultures like for the VAP cultures?
-{{DiscussAllan | If a patient with CAP on admission that hasn't cleared but isn't ventilated for days then has to go on a ventilator then less than 48 hour ventilated develops a positive culture(quantitive bronchoscopically obtained) and a change in respiratory status can this be called HAP? Or are you saying it's CAP the whole admission? It seems according to the VAP quidelines patients with CAP can develop VAP under the right conditions so couldn't they also get HAP? Are you saying patients with CAP can never get HAP?
+{{Discuss | who = Allan | question = If a patient with CAP on admission that hasn't cleared but isn't ventilated for days then has to go on a ventilator then less than 48 hour ventilated develops a positive culture(quantitive bronchoscopically obtained) and a change in respiratory status can this be called HAP? Or are you saying it's CAP the whole admission? It seems according to the VAP quidelines patients with CAP can develop VAP under the right conditions so couldn't they also get HAP? Are you saying patients with CAP can never get HAP?
 I will give an example cases: