What are the symptoms and physical findings of hospital-acquired (nosocomial) aspiration pneumonia?

Updated: Aug 15, 2018
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Answer

In hospital acquired aspiration pneumonia, the symptoms of cough and shortness of breath of may be more acute in onset than in CAP when aerobic organisms are the pathogens. Fever and rigors may be present.

Patients brought in after witnessed large-volume vomitus and subsequent aspiration pneumonitis may have a history consistent with an acute change in mental status, which may include seizure, alcohol abuse, drug overdose, and/or head trauma.

On physical examination, findings may include periodontal disease (primarily noted as gingivitis), bad breath, fever, bronchial breath sounds and rales over a consolidated posterior area.


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