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 day case for regular hemodialysis or intravenous infusion (for example, chemotherapy). Especially in the very old and in demented patients, HCAP is likely to present with atypical symptoms. Among the factors contributing to contracting HAP are mechanical ventilation (ventilator-associated pneumonia), old age, decreased filtration of inspired air, intrinsic respiratory, neurologic, or other disease states that result in respiratory tract obstruction, trauma, (abdominal) surgery, medications, diminished lung volumes, or decreased clearance of secretions may diminish the defenses of the lung. Also, poor hand-washing and inadequate disinfection of respiratory devices cause cross-infection and are important factors. Most nosocomial respiratory infections are caused