Do guidelines change outcomes in ventilator-associated pneumonia?

Current Opinion in Infectious Diseases
Gianluigi Li BassiAntoni Torres

Abstract

The purpose of the study is to summarize effects of implementation of current and past guidelines for management and treatment of ventilator-associated pneumonia (VAP) on outcome of intensive care patients, with particular focus on etiology of VAP, pathogens prediction, appropriate empiric antibiotic therapy and mortality. Several studies have shown that in patients with clinical suspicion of VAP, appropriate antibiotic therapy administered in a timely manner can improve survival. Guidelines for management and treatment of VAP have been developed to help physicians to achieve those goals. Implementation of guidelines into clinical practice is difficult to achieve and requires extensive education for healthcare personnel and translation of recommendations into local protocols. Studies have shown that guidelines implementation is associated with better outcome. However, extensive research needs to be undertaken in order to validate efficacy of guidelines in predicting etiology of pneumonia, in particular, to promptly identify multidrug-resistant pathogens. Only one recent report has validated the latest guidelines and called attention for further research to improve microbial prediction. Guidelines implementation can improve outc...Continue Reading

References

Jun 1, 1992·Critical Care Medicine·F A ScannapiecoJ M Mylotte
Jan 1, 1987·Intensive Care Medicine·M LangerG Tognoni
Feb 26, 1998·American Journal of Respiratory and Critical Care Medicine·J L TrouilletC Gibert
May 18, 2000·The New England Journal of Medicine·J P KressJ B Hall
May 25, 2001·Critical Care Medicine·A HeiningerK Hamprecht
Aug 14, 2001·American Journal of Respiratory and Critical Care Medicine·D C BergmansE E Stobberingh
Apr 6, 2002·American Journal of Respiratory and Critical Care Medicine·Jean Chastre, Jean-Yves Fagon
Dec 19, 2003·The European Respiratory Journal·M IoanasA Torres
Jan 11, 2005·The American Journal of Medicine·Cameron DezfulianSanjay Saint
Feb 9, 2005·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society, UNKNOWN Infectious Diseases Society of America
Jul 7, 2005·Intensive Care Medicine·Cédric DaubinPierre Charbonneau
Sep 18, 2007·American Journal of Respiratory and Critical Care Medicine·Leonardo LorenteAntonio Sierra
Mar 25, 2008·Journal of Critical Care·Marie-Soleil DelisleDaren K Heyland
Mar 25, 2008·Journal of Critical Care·Tasnim SinuffUNKNOWN Canadian Critical Care Trials Group
Nov 8, 2008·Intensive Care Medicine·Antoni TorresUNKNOWN European HAP working group
Apr 15, 2009·Antimicrobial Agents and Chemotherapy·Petra GastmeierTobias Welte
Nov 4, 2009·Critical Care Medicine·Wilhelmina G MelsenMarc J M Bonten

❮ Previous
Next ❯

Citations

Nov 26, 2015·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Katja de With, Agnes Wechsler-Fördös
Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jente M GoutierSean M Berenholtz
May 23, 2015·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Sabrina RoyerRosineide Marques Ribas
Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael KlompasSean M Berenholtz
Oct 17, 2016·Enfermedades infecciosas y microbiología clínica·Emilio BouzaUNKNOWN “Diagnóstico Etiológico de la Neumonía Asociada a Ventilación Mecánica (DENEVEM)” – Etiologic diagnosis of VAP – Study Group
Nov 8, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael KlompasSean M Berenholtz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.