Microorganism | Risk factor |
---|---|
H. influenzae, Moraxella catarhalis, S. pneumoniae | Chronic obstructive pulmonary disease (COPD), early-onset VAP |
P. aeruginosa, A. baumannii | Corticosteroid therapy, malnutrition, lung disease (bronchiectasis, cystic fibrosis), late-onset VAP, prior antibiotic exposure |
S. aureus | Coma, head-trauma, neurosurgery, diabetes mellitus, chronic renal insufficiency, influenza |
Anaerobes | Aspiration |
Legionella | Chemotherapy, corticosteroid therapy, malignancy, renal insufficiency, neutropenia, contamination of (hospital) water system |
Aspergillus | Corticosteroid therapy, cytotoxic drugs, COPD |
Candida albicans | Immunosuppression, cytotoxic drugs, corticosteroid therapy, broad-spectrum antibiotics |
Influenza | Winter season, immunosuppression, chronic underlying disease |
Respiratory syncytial virus | Immunosuppression, chronic cardiac or pulmonary disease |