Ventilator associated pneumonia management

Critical Care

The actual antibiotic regimen selected depends on patient and institutional factors. Patient factors include sickness and duration of hospitalization. Institutional factors include the most likely causative organisms and their suspected susceptibilities. No antibiotic regimen can cover 100% of possible pathogens, thus close coordination between the infectious disease service, pharmacology, and the critical care team is necessary. Institutional antibiograms are essential and obviate the use of generic tables found in textbooks. Particular attention should be paid to dosing in the critically ill patient population (many of whom have expanded volumes of distribution).

Sources

    Pneumonia http://www.openanesthesia.org/pneumonia/

    Crit Care Med. 2006 Jun;34(6):1819-20

    [PubMed: 16625125]

    JAMA. 2004 Feb 18;291(7):820; author reply 820

    [PubMed: 14625336]

    See also Prevent ventilator assoc. pneumonia

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2011

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