Unbound MEDLINE

Preventing ventilator-associated pneumonia: does the evidence support the practice?

Abstract

Ventilator-associated pneumonia (VAP) is among the most common infections in patients requiring endotracheal tubes with mechanical ventilation. Ventilator-associated pneumonia is associated with increased hospital costs, a greater number of days in the intensive care unit, longer duration of mechanical ventilation, and higher mortality. Despite widely accepted recommendations for interventions designed to reduce rates of VAP, few studies have assessed the ability of these interventions to improve patient outcomes. As the understanding of VAP advances and new technologies to reduce VAP become available, studies should directly assess patient outcomes before the health care community implements specific prevention approaches in clinical practice.

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  • Publisher Full Text
  • Authors

    O'Grady NP, Murray PR, Ames N

    Institution

    Critical Care Medicine Department, National Institutes of Health, Bldg 10 Room 2C142, 10 Center Dr, MSC 1662, Bethesda, MD 20892, USA. nogrady@mail.cc.nih.gov

    Source

    JAMA : the journal of the American Medical Association 307:23 2012 Jun 20 pg 2534-9

    MeSH

    Catheterization
    Clostridium difficile
    Combined Modality Therapy
    Enterocolitis, Pseudomembranous
    Evidence-Based Medicine
    Female
    Hematologic Neoplasms
    Humans
    Lung
    Mucus
    Pneumonia, Ventilator-Associated
    Posture
    Respiration, Artificial
    Risk Factors
    Stem Cell Transplantation
    Suction

    Pub Type(s)

    Case Reports
    Clinical Conference
    Journal Article

    Language

    eng

    PubMed ID

    22797453