Nosocomial pneumonia is a serious contagious complication, often directly threatening a patient's life. Early antibiotic treatment significantly modifies the course of the infection, including a high survival probability.
In most instances the initial therapy is empirical, chiefly with broad-spectrum antibiotics. The choice is governed by the general principles of rational antibiotic treatment, taking account of the local epidemiological situation.
Treatment is modified in line with immediate bacteriological findings. Efficacious prevention of the development and spreading of resistant clones is a significant component of a comprehensive approach.