Author: Patricia Rios; Amruta Radhakrishnan; Sonia M. Thomas; Nazia Darvesh; Sharon E. Straus; Andrea C. Tricco
Title: Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care: A rapid review of clinical practice guidelines Document date: 2020_3_26
ID: kwncu3ji_309
Snippet: • Although a new infiltrate seen on chest X-ray with compatible clinical signs is the gold standard for the diagnosis of NHAP, in nursing home settings the diagnosis must often be made on clinical grounds alone. • The physical examination must include blood pressure, heart rate, respiratory rate and auscultation of the respiratory system • Ideally the diagnosis of pneumonia should be supported with chest X-ray, oxygen saturation, complete b.....
Document: • Although a new infiltrate seen on chest X-ray with compatible clinical signs is the gold standard for the diagnosis of NHAP, in nursing home settings the diagnosis must often be made on clinical grounds alone. • The physical examination must include blood pressure, heart rate, respiratory rate and auscultation of the respiratory system • Ideally the diagnosis of pneumonia should be supported with chest X-ray, oxygen saturation, complete blood count and differential, blood cultures, and sputum cultures. • As these tests are frequently unavailable in the nursing home setting, refer to management below.
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