ventilator-assistance pneumonia

ventilator-assistance pneumonia

Ventilator pneumonia ICU Pneumonia linked to prolonged use of a ventilator, seen in 25% of Pts after 48 hrs of mechanical ventilation Risk factors Age > 70, COPD, NG tubes, prior chest surgery, H-2 or antacid therapy Clinical New, persistent, progressive infiltrate, fever, leukocytosis, purulent tracheobronchial secretions–only half of Pts meeting these criteria have VAP Common pathogens.Acinetobacter spp, S aureus, Pseudomonas aeruginosa, Enterobacter spp, Serratia marscescens Management Vancomycin, amikacin, imipenem
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