Here is a chart that can hopefully help with pronunciation of the Chamorro letters. While most Chamorros are very forgiving when someone mispronounces the words, there are some cases where mispronunciation leads to confusion and miscommunication, so I'll try to give some pointers on pronunciation.
Healthcare-associated pneumonia (nosocomial pneumonia) is pneumonia that you get when you are in a hospital or nursing home. Experts generally consider it a more serious illness than pneumonia that people get in daily life (community-associated pneumonia). This is because the person with healthcare-associated pneumonia may already have a serious illness. Healthcare-associated pneumonia is also often caused by bacteria other than Streptococcus pneumoniae, which causes most cases of pneumonia.
A healthcare-associated infection is an infection that is acquired after contact with the healthcare services. This is most frequently after treatment in a hospital, but can also happen after treatment in outpatient clinics, nursing homes and other healthcare settings.neumonia is an infection of the lungs that can cause mild to severe illness. Symptoms include cough, shortness of breath and fever. The majority of patients who are treated for pneumonia in hospital are admitted with the infection (having accquired pneumonia in the community).