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 sputum samples and intensive care patients, in whom these bacteria were commonly found. In one observational study, empirical antibiotic treatment that was not according to international treatment guidelines was an independent predictor of worse outcome among HCAP patients. Guidelines from Canada suggest that HCAP can be treated like community-acquired pneumonia with antibiotics targeting Streptococcus pneumoniae, based on studies using blood cultures in different settings which have not found high rates of MRSA or Pseudomonas. Besides prompt antibiotic treatment, supportive measure for organ failure (such as cardiac decompensation) are also important. Another consideration goes to hospital referral; although more severe pneumonia