Ventilator associated pneumonia management
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).
See also Prevent ventilator assoc. pneumonia