Risk factors associated with community-acquired pneumonia (CAP) caused by Gram-negative bacteria (including multidrug-resistant (MDR) strains)
Risk factor for MDR strain | |
Demographics | |
Older age [102] | No |
Underweight [103] | Yes |
Residence in a nursing home or extended care facility [102] | No |
Underlying conditions | |
Chronic lung disease, mainly COPD and bronchiectasis [104–106] | Yes |
Immunodepression [102] | No |
Chronic dialysis [102] | No |
Cardiovascular disease [103, 105] | Yes |
Cerebrovascular disease [105] | No |
Diabetes [107] | No |
Others | |
Smoking [107] | No |
Antimicrobial (both oral and intravenous) in the preceding 90 days [104, 106] | Yes |
Home wound care [102] | No |
Prior infection or colonisation with an MDR Gram-negative pathogen (e.g. Pseudomonas aeruginosa) [104, 107] | Yes |
Prior hospitalisation [103] | Yes |
Enteral tube feeding [105] | No |
Clinical presentation | |
Severe disease (e.g. CAP requiring ICU admission) [103, 106] | No |
PSI score III, IV [104] | No |
ICU: intensive care unit; PSI: pneumonia severity index.