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 is usually recommended to obtain a culture prior to initiating mechanical ventilation as a reference. HCAP is a condition in patients who can come from the community, but have frequent contact with the healthcare environment. Historically, the etiology and prognosis of nursing home pneumonia appeared to differ from other types of community acquired pneumonia, with studies reporting a worse prognosis and higher incidence of multi drug resistant organisms as etiology agents. The definition criteria which has been used is the same as the one which has been previously used to identify bloodstream healthcare associated infections. HCAP is no longer recognized