The Bellevue-Stratford Hotel in July 1976, when it hosted a statewide convention of the American Legion. Soon after, a pneumonia-like disease killed 29 people and sickened 182 more who had been in the hotel. The vast majority were members of the convention. The negative publicity associated with what became known as "Legionnaires' Disease" caused occupancy at the Bellevue-Stratford to plummet to 4 percent and the hotel finally closed on November 18, 1976. In 1977, Dr. Joseph McDade discovered a new bacterium, which was identified as the causative organism. It thrives in hot, damp places like the water of the cooling towers for 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