1976 Philadelphia Legionnaires' disease outbreak killed 16 persons out of 78 infected was later determined to be Legionnaires' disease. A September 1974 convention of the Independent Order of Odd Fellows was also held at the Bellevue-Stratford Hotel. Out of approximately 1,500 members who attended, 20 developed pneumonia and two died. A later article in "The Lancet" reported: "Illness [high fever and pneumonia] was significantly associated with attendance at one convention activity held on Monday morning, September 16, 1974, in the grand ballroom of the hotel." 1976 Philadelphia Legionnaires' disease outbreak The 1976 Legionnaires disease outbreak, occurring in the late summer in Philadelphia, Pennsylvania, was the
Hospital-acquired pneumonia receive inappropriate antibiotics that do not target the bacteria causing their disease. In 2002, an expert panel made recommendations about the evaluation and treatment of probable nursing home-acquired pneumonia. They defined probably pneumonia, emphasized expedite antibiotic treatment (which is known to improve survival) and drafted criteria for the hospitalization of willing patients. For initial treatment in the nursing home, a fluoroquinolone antibiotic suitable for respiratory infections (moxifloxacin, for example), or amoxicillin with clavulanic acid plus a macrolide has been suggested. In a hospital setting, injected (parenteral) fluoroquinolones or a second- or third-generation cephalosporin plus a macrolide could be used. Other