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Aging and Disease    2015, Vol. 6 Issue (1) : 27-37     DOI: 10.14336/AD.2014.0127
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Healthcare-associated Pneumonia and Aspiration Pneumonia
Kosaku Komiya1, 2, Hiroshi Ishii3, Jun-ichi Kadota1
1Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Yufu, Japan
2Clinical Research Center of Respiratory Medicine, Tenshindo Hetsugi Hospital, Oita, Japan
3Department of Respiratory Medicine, Fukuoka University Hospital, Jonan-ku, Fukuoka, Japan
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Abstract  

Healthcare-associated pneumonia (HCAP) is a new concept of pneumonia proposed by the American Thoracic Society/Infectious Diseases Society of America in 2005. This category is located between community-acquired pneumonia and hospital-acquired pneumonia with respect to the characteristics of the causative pathogens and mortality, and primarily targets elderly patients in healthcare facilities. Aspiration among such patients is recognized to be a primary mechanism for the development of pneumonia, particularly since the HCAP guidelines were published. However, it is difficult to manage patients with aspiration pneumonia because the definition of the condition is unclear, and the treatment is associated with ethical aspects. This review focused on the definition, prevalence and role of aspiration pneumonia as a prognostic factor in published studies of HCAP and attempted to identify problems associated with the concept of aspiration pneumonia.

Keywords healthcare-associated pneumonia      aspiration pneumonia      elderly      diagnosis     
Corresponding Authors: Kosaku Komiya   
Issue Date: 01 February 2015
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Kosaku Komiya
Hiroshi Ishii
Jun-ichi Kadota
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Kosaku Komiya,Hiroshi Ishii,Jun-ichi Kadota. Healthcare-associated Pneumonia and Aspiration Pneumonia[J]. Aging and Disease, 2015, 6(1): 27-37.
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http://www.aginganddisease.org/EN/10.14336/AD.2014.0127     OR     http://www.aginganddisease.org/EN/Y2015/V6/I1/27
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