Pneumonia, Nursing home-acquired (NHAP)

- Test for SARS-CoV-2, and influenza during appropriate season. Recommend annual influenza vaccine, and pneumococcal vaccine where indicated.

- Respiratory syncytial virus (RSV) and human metapneumovirus may cause pneumonia outbreaks in the elderly.

- Chlamydia pneumoniae also a pathogen in elderly/nursing home acquired pneumonia. Signs and symptoms may be prolonged.

- Consider TB as there is a 10-30 times increased incidence of TB in long term care.

For treatment, see CAP.