1976 Philadelphia Legionnaires' disease outbreak failed. The disease was finally produced in guinea pigs. The CDC announced the discovery at a press conference on January 18, 1977. The bacterium was later named "Legionella pneumophila". "Legionella pneumophila" is the most common cause, but sometimes other species of Legionella bacteria also cause Legionnaires' disease. The terms "Philadelphia fever" and "Legion fever" appear to have been used at the time of the outbreak and for shortly thereafter, although at least one 2008 source which covers disease in a historical narrative sense also included "Legion Fever" as alternate name. Both the World Health Organization in 2018 and the United
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