Pneumonia

Pneumonia usually presents between 24 and 96 h postoperatively. Predisposing factors include prolonged ventilatory support and atelectasis. Presenting symptoms can include dyspnea, chest pain, productive cough, fever, and tachypnea. Postoperative pneumonia is likely to be polymicrobial. After cultures of sputum and blood are obtained, parenteral antimicrobial therapy with an aminoglycoside and an antipseudomonal penicillin should be administered. Admission to the hospital is generally indicated.

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