ventilator-associated pneumonia

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Introduction

Pneumonia that develops > 48-72 hours after initiation of mechanical ventilation.

Etiology

risk factors

Epidemiology

Clinical manifestations

Laboratory

* also see ARUP consult[11]

Diagnostic procedures

Radiology

Management

* ciprofloxacin is not a respiratory fluoroquinolone, but it does penetrate into lung tissue & may be the most effective fluoroquinolone against Pseudomonas

* not due to non-fermenting Gram-negative bacilli (Pseudomonas, Stenotrophomonas maltophilia, Acinetobacter spp*)[6]

* 8 days of therapy adequate for Acinetobacter[6]

More general terms

Additional terms

References

  1. Torpy JM, JAMA patient page. Ventilator-associated pneumonia. JAMA 2007, 297:1616 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17426282
  2. Klompas M, Does this patient have ventilator-associated pneumonia? JAMA 2007, 297:1583 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17426278
  3. 3.0 3.1 Journal Watch 24(2):10, 2004 Chastre J et al, Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized trial. JAMA 290:2588, 2003 PMID: https://www.ncbi.nlm.nih.gov/pubmed/14625336
  4. 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018, 2021.
    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  5. American Thoracic Society; Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005 Feb 15;171(4):388-416. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15699079
  6. 6.0 6.1 6.2 6.3 6.4 Pugh R, Grant C, Cooke RP, Dempsey G. Short-course versus prolonged-course antibiotic therapy for hospital-acquired pneumonia in critically ill adults. Cochrane Database Syst Rev. 2011 Oct 5;(10):CD007577 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21975771
    Pugh R, Grant C, Cooke RP et al Short-course versus prolonged-course antibiotic therapy for hospital-acquired pneumonia in critically ill adults. Cochrane Database Syst Rev. 2015(8):CD007577 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26301604 PMCID: PMC7025798 Free PMC article https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007577.pub3/full
  7. Kalanuria AA, Zai W, Mirski M. Ventilator-associated pneumonia in the ICU. Crit Care. 2014 Mar 18;18(2):208. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/25029020 Free PMC Article
  8. Klompas M, Branson R, Eichenwald EC et al Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014 Aug;35(8):915-36. PMID: https://www.ncbi.nlm.nih.gov/pubmed/25026607
  9. 9.0 9.1 Metersky ML et al. Trend in ventilator-associated pneumonia rates between 2005 and 2013. JAMA 2016 Nov 11 PMID: https://www.ncbi.nlm.nih.gov/pubmed/27835709
  10. 10.0 10.1 10.2 Kalil AC, Metersky ML, Klompas M et al Management of Adults With Hospital-acquired and Ventilator- associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis. 2016 Sep 1;63(5):e61-e111. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27418577 PMCID: PMC4981759 Free PMC Article
  11. 11.0 11.1 ARUP Consult: Hospital-Acquired and Ventilator-Associated Pneumonia The Physician's Guide to Laboratory Test Selection & Interpretation https://arupconsult.com/content/healthcare-associated-pneumonia
  12. 12.0 12.1 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  13. 13.0 13.1 13.2 13.3 Rapid Review Quiz: Hospital-Acquired Pneumonia Medscape. Sept 15, 2022 https://reference.medscape.com/viewarticle/980567
  14. 14.0 14.1 Johnstone J, Meade M, Lauzier F et al. Effect of probiotics on incident ventilator-associated pneumonia in critically ill patients: A randomized clinical trial. JAMA 2021 Sep 21; 326:1024. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34546300 https://jamanetwork.com/journals/jama/article-abstract/2784358
  15. 15.0 15.1 15.2 15.3 NEJM Knowledge+
  16. 16.0 16.1 Ehrenzeller S, Klompas M. Association between daily toothbrushing and hospital-acquired pneumonia: A systematic review and meta-analysis. JAMA Intern Med 2023 Dec 18; [e-pub] PMID: https://www.ncbi.nlm.nih.gov/pubmed/38109100. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2812938