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Serbian Journal of Anesthesia and Intensive Therapy
2014, vol. 36, iss. 1-2, pp. 109-116
article language: Serbian
document type: Review Paper
Ventilator associated pneumonia
aMedicinski fakultet, Novi Sad + Klinički centar Vojvodine, Novi Sad
bMedicinski fakultet, Beograd + Centar za anesteziologiju i reanimatologiju Kliničkog centra Srbije, Beograd
cKlinički centar Vojvodine, Novi Sad
dClinical Centre

e-mail: profgvozdenovic2010@hotmail.com

Abstract

Pneumonia associated with ventilator support patients (VAP) is a type of nosocomial infection and is defined as pneumonia occurred 48 hours after intubation of patients and initiation of mechanical ventilation. The incidence is 8-28% intubated patients and is associated with a high mortality rate of 33-50%. The causes are usually bacteria, depending on the time of onset is caused by sensitive or resistant strains of bacteria. The primary way of maturities of pathogens into the trachea through a tube - aspiration, or diffusion of bacteria around the endotracheal tube coffee. Accompanied by a high mortality rate, increased cost and length of treatment, and much attention is given to non-pharmacological and pharmacological measures preventing its occurrence. A crucial role is early diagnosis that will affect the choice of antibiotics. Diagnosis is based on clinical presentation, radiographic findings and microbiological results. The therapy is conducted one antibiotic - monotherapy or a combination of different antibiotics. The choice of antibiotics depends on the time of onset of pneumonia since the beginning of mechanical ventilation and the presence of risk factors for infections caused by multiresistant strains of bacteria. The optimal antibiotic therapy is the key to successful treatment of ventilator pneumonia joint.

Keywords

References

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