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Preventing Ventilator-Associated Pneumonia

2012; American Medical Association; Volume: 307; Issue: 23 Linguagem: Inglês

10.1001/jama.2012.6445

1538-3598

Naomi P. O’Grady, Patrick R. Murray, Nancy J. Ames,

Intensive Care Unit Cognitive Disorders

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.