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 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