Critical Care Medicine, ISSN 0090-3493, 11/2004, Volume 32, Issue 11, pp. 2183 - 2190
OBJECTIVE:To evaluate de-escalation of antibiotic therapy in patients with ventilator-associated pneumonia. DESIGN:Prospective observational study during a...
Hospital-acquired pneumonia | Therapy | De-escalation | Ventilator-associated pneumonia | Imipenem | INFECTIONS | ANTIMICROBIAL THERAPY | ACQUIRED PNEUMONIA | therapy | ventilator-associated pneumonia | SUSCEPTIBLE ORGANISMS | hospital-acquired pneumonia | ANTIBIOTIC-THERAPY | IMPACT | ILL PATIENT | imipenem | INTENSIVE-CARE-UNIT | de-escalation | PATIENT OUTCOMES | NOSOCOMIAL PNEUMONIA | CRITICAL CARE MEDICINE | Critical Care - methods | Sputum - microbiology | Prospective Studies | Critical Care - standards | Cross Infection - etiology | Humans | Middle Aged | Pneumonia, Bacterial - etiology | Cross Infection - mortality | Infection Control | Male | Empirical Research | Bronchoalveolar Lavage Fluid - microbiology | Microbial Sensitivity Tests | Anti-Bacterial Agents - therapeutic use | Respiration, Artificial - adverse effects | Time Factors | Pneumonia, Bacterial - mortality | Female | Bronchoscopy | Hospital Mortality | Comorbidity | Risk Factors | Treatment Outcome | Pneumonia, Bacterial - diagnosis | Evidence-Based Medicine | Cross Infection - drug therapy | Algorithms | Cross Infection - diagnosis | Pneumonia, Bacterial - drug therapy | Decision Trees | Practice Guidelines as Topic
Hospital-acquired pneumonia | Therapy | De-escalation | Ventilator-associated pneumonia | Imipenem | INFECTIONS | ANTIMICROBIAL THERAPY | ACQUIRED PNEUMONIA | therapy | ventilator-associated pneumonia | SUSCEPTIBLE ORGANISMS | hospital-acquired pneumonia | ANTIBIOTIC-THERAPY | IMPACT | ILL PATIENT | imipenem | INTENSIVE-CARE-UNIT | de-escalation | PATIENT OUTCOMES | NOSOCOMIAL PNEUMONIA | CRITICAL CARE MEDICINE | Critical Care - methods | Sputum - microbiology | Prospective Studies | Critical Care - standards | Cross Infection - etiology | Humans | Middle Aged | Pneumonia, Bacterial - etiology | Cross Infection - mortality | Infection Control | Male | Empirical Research | Bronchoalveolar Lavage Fluid - microbiology | Microbial Sensitivity Tests | Anti-Bacterial Agents - therapeutic use | Respiration, Artificial - adverse effects | Time Factors | Pneumonia, Bacterial - mortality | Female | Bronchoscopy | Hospital Mortality | Comorbidity | Risk Factors | Treatment Outcome | Pneumonia, Bacterial - diagnosis | Evidence-Based Medicine | Cross Infection - drug therapy | Algorithms | Cross Infection - diagnosis | Pneumonia, Bacterial - drug therapy | Decision Trees | Practice Guidelines as Topic
Journal Article
European Respiratory Journal, ISSN 0903-1936, 04/2016, Volume 47, Issue 4, pp. 1219 - 1228
Issues regarding recommendations on empiric antimicrobial therapy for ventilator-associated pneumonia (VAP) have emerged in specific populations. To develop...
RESPIRATORY SYSTEM | CARE-ASSOCIATED PNEUMONIA | RESISTANT BACTERIA | HOSPITAL-ACQUIRED PNEUMONIA | PREVENTION | SURVEILLANCE | RISK | STAPHYLOCOCCUS-AUREUS | COHORT | ANTIBIOTIC-TREATMENT | OUTCOMES | Severity of Illness Index | Multivariate Analysis | Predictive Value of Tests | Intensive Care Units | Prospective Studies | Area Under Curve | Humans | Middle Aged | Drug Resistance, Bacterial | Brain Injuries - complications | Male | Brain Injuries - therapy | Pneumonia, Ventilator-Associated - etiology | Incidence | Anti-Bacterial Agents - therapeutic use | Time Factors | Glasgow Coma Scale | Adult | Burns - therapy | Female | Burns - complications | Pneumonia, Ventilator-Associated - drug therapy
RESPIRATORY SYSTEM | CARE-ASSOCIATED PNEUMONIA | RESISTANT BACTERIA | HOSPITAL-ACQUIRED PNEUMONIA | PREVENTION | SURVEILLANCE | RISK | STAPHYLOCOCCUS-AUREUS | COHORT | ANTIBIOTIC-TREATMENT | OUTCOMES | Severity of Illness Index | Multivariate Analysis | Predictive Value of Tests | Intensive Care Units | Prospective Studies | Area Under Curve | Humans | Middle Aged | Drug Resistance, Bacterial | Brain Injuries - complications | Male | Brain Injuries - therapy | Pneumonia, Ventilator-Associated - etiology | Incidence | Anti-Bacterial Agents - therapeutic use | Time Factors | Glasgow Coma Scale | Adult | Burns - therapy | Female | Burns - complications | Pneumonia, Ventilator-Associated - drug therapy
Journal Article
European Respiratory Journal, ISSN 0903-1936, 01/2006, Volume 27, Issue 1, pp. 158 - 164
Inappropriate therapy (IT) and delayed initiation of appropriate therapy (DIAT) result in inadequate therapy in patients with ventilator-associated pneumonia...
Delayed therapy | Adequate therapy | Antimicrobials | Nosocomial pneumonia | Resistant pathogens | Outcome | DIAGNOSIS | delayed therapy | nosocomial pneumonia | ILLNESS | antimicrobials | NOSOCOMIAL INFECTION | resistant pathogens | adequate therapy | PULMONARY INFECTION SCORE | IMPACT | RESPIRATORY SYSTEM | BRONCHOSCOPIC TECHNIQUES | ANTIBIOTIC-TREATMENT | OUTCOMES | CULTURES | outcome | SEVERITY | Severity of Illness Index | Intensive Care Units | Prognosis | Prospective Studies | Humans | Middle Aged | Pneumonia, Bacterial - etiology | Male | Treatment Outcome | Ventilators, Mechanical - adverse effects | Cross Infection - drug therapy | Bronchoalveolar Lavage Fluid - microbiology | Analysis of Variance | Time Factors | Pneumonia, Bacterial - mortality | Survival Analysis | Female | Pneumonia, Bacterial - drug therapy | Aged | Anti-Bacterial Agents - administration & dosage
Delayed therapy | Adequate therapy | Antimicrobials | Nosocomial pneumonia | Resistant pathogens | Outcome | DIAGNOSIS | delayed therapy | nosocomial pneumonia | ILLNESS | antimicrobials | NOSOCOMIAL INFECTION | resistant pathogens | adequate therapy | PULMONARY INFECTION SCORE | IMPACT | RESPIRATORY SYSTEM | BRONCHOSCOPIC TECHNIQUES | ANTIBIOTIC-TREATMENT | OUTCOMES | CULTURES | outcome | SEVERITY | Severity of Illness Index | Intensive Care Units | Prognosis | Prospective Studies | Humans | Middle Aged | Pneumonia, Bacterial - etiology | Male | Treatment Outcome | Ventilators, Mechanical - adverse effects | Cross Infection - drug therapy | Bronchoalveolar Lavage Fluid - microbiology | Analysis of Variance | Time Factors | Pneumonia, Bacterial - mortality | Survival Analysis | Female | Pneumonia, Bacterial - drug therapy | Aged | Anti-Bacterial Agents - administration & dosage
Journal Article
Current Opinion in Infectious Diseases, ISSN 0951-7375, 04/2016, Volume 29, Issue 2, pp. 218 - 222
PURPOSE OF REVIEWVentilator-associated pneumonia (VAP) is a major cause of morbidity and mortality in the critical care setting. It incurs great additional...
Gram-negative bacilli | Ventilator-associated pneumonia | Duration | Treatment | Optimization | duration | treatment | DIAGNOSIS | INFECTIOUS DISEASES | COSTS | optimization | ventilator-associated pneumonia | ICU | EPIDEMIOLOGY | ANTIBIOTIC-THERAPY | Recurrence | Time Factors | Humans | Survival Analysis | Treatment Outcome | Anti-Bacterial Agents - administration & dosage | Pneumonia, Ventilator-Associated - drug therapy | Randomized Controlled Trials as Topic
Gram-negative bacilli | Ventilator-associated pneumonia | Duration | Treatment | Optimization | duration | treatment | DIAGNOSIS | INFECTIOUS DISEASES | COSTS | optimization | ventilator-associated pneumonia | ICU | EPIDEMIOLOGY | ANTIBIOTIC-THERAPY | Recurrence | Time Factors | Humans | Survival Analysis | Treatment Outcome | Anti-Bacterial Agents - administration & dosage | Pneumonia, Ventilator-Associated - drug therapy | Randomized Controlled Trials as Topic
Journal Article
JAMA, ISSN 0098-7484, 11/2003, Volume 290, Issue 19, pp. 2588 - 2598
CONTEXT The optimal duration of antimicrobial treatment for ventilator-associated pneumonia (VAP) is unknown. Shortening the length of treatment may help to...
ACINETOBACTER-BAUMANNII | MEDICINE, GENERAL & INTERNAL | PSEUDOMONAS-AERUGINOSA | CONSENSUS CONFERENCE | INTENSIVE-CARE UNITS | HOSPITALS | INFECTION | ORGAN FAILURE | ANTIMICROBIAL RESISTANCE | EPIDEMIOLOGY | NOSOCOMIAL PNEUMONIA | Bronchoscopy | Intensive Care Units | Prospective Studies | Cross Infection - etiology | Double-Blind Method | Drug Administration Schedule | Humans | Middle Aged | Pneumonia, Bacterial - etiology | Male | Treatment Outcome | Pneumonia, Bacterial - diagnosis | Cross Infection - drug therapy | Anti-Bacterial Agents - therapeutic use | Respiration, Artificial - adverse effects | Adult | Female | Pneumonia, Bacterial - drug therapy | Aged | Anti-Bacterial Agents - administration & dosage | Pneumonia | Antibiotics | Complications | Bacterial pneumonia | Dosage and administration | Drug therapy | Artificial respiration | Clinical trials | Patients
ACINETOBACTER-BAUMANNII | MEDICINE, GENERAL & INTERNAL | PSEUDOMONAS-AERUGINOSA | CONSENSUS CONFERENCE | INTENSIVE-CARE UNITS | HOSPITALS | INFECTION | ORGAN FAILURE | ANTIMICROBIAL RESISTANCE | EPIDEMIOLOGY | NOSOCOMIAL PNEUMONIA | Bronchoscopy | Intensive Care Units | Prospective Studies | Cross Infection - etiology | Double-Blind Method | Drug Administration Schedule | Humans | Middle Aged | Pneumonia, Bacterial - etiology | Male | Treatment Outcome | Pneumonia, Bacterial - diagnosis | Cross Infection - drug therapy | Anti-Bacterial Agents - therapeutic use | Respiration, Artificial - adverse effects | Adult | Female | Pneumonia, Bacterial - drug therapy | Aged | Anti-Bacterial Agents - administration & dosage | Pneumonia | Antibiotics | Complications | Bacterial pneumonia | Dosage and administration | Drug therapy | Artificial respiration | Clinical trials | Patients
Journal Article
Clinical Infectious Diseases, ISSN 1058-4838, 09/2016, Volume 63, Issue 5, pp. e61 - e111
It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment...
INFECTIOUS DISEASES | COMBINATION ANTIBIOTIC-THERAPY | PROTECTED SPECIMEN BRUSH | LOWER RESPIRATORY-TRACT | MICROBIOLOGY | PSEUDOMONAS-AERUGINOSA BACTEREMIA | RANDOMIZED CONTROLLED-TRIAL | IMMUNOLOGY | RESISTANT STAPHYLOCOCCUS-AUREUS | INTENSIVE-CARE-UNIT | GRAM-POSITIVE INFECTIONS | DE-ESCALATION THERAPY | CRITICALLY-ILL PATIENTS | Anti-Bacterial Agents - therapeutic use | Cross Infection - therapy | Pneumonia, Bacterial - therapy | Pneumonia, Ventilator-Associated - therapy | United States | Drug Resistance, Multiple, Bacterial | Humans | Cross Infection - diagnosis | Adult | Bacteriological Techniques | Pneumonia, Bacterial - diagnosis | Pneumonia, Ventilator-Associated - diagnosis | Ventilator-associated pneumonia | Care and treatment | Analysis | Practice guidelines (Medicine) | Medical care | Management | Protocols clÃnics | Pneumonia | Pneumònia | Malalties infeccioses | Estats Units d'Amèrica | Communicable diseases | Community-acquired pneumonia | Pneumònia adquirida a la comunitat | American Thoracic Society | Medical protocols | Assistència mèdica | Infectious Diseases Society of America | Idsa Guideline | Medical Guideline
INFECTIOUS DISEASES | COMBINATION ANTIBIOTIC-THERAPY | PROTECTED SPECIMEN BRUSH | LOWER RESPIRATORY-TRACT | MICROBIOLOGY | PSEUDOMONAS-AERUGINOSA BACTEREMIA | RANDOMIZED CONTROLLED-TRIAL | IMMUNOLOGY | RESISTANT STAPHYLOCOCCUS-AUREUS | INTENSIVE-CARE-UNIT | GRAM-POSITIVE INFECTIONS | DE-ESCALATION THERAPY | CRITICALLY-ILL PATIENTS | Anti-Bacterial Agents - therapeutic use | Cross Infection - therapy | Pneumonia, Bacterial - therapy | Pneumonia, Ventilator-Associated - therapy | United States | Drug Resistance, Multiple, Bacterial | Humans | Cross Infection - diagnosis | Adult | Bacteriological Techniques | Pneumonia, Bacterial - diagnosis | Pneumonia, Ventilator-Associated - diagnosis | Ventilator-associated pneumonia | Care and treatment | Analysis | Practice guidelines (Medicine) | Medical care | Management | Protocols clÃnics | Pneumonia | Pneumònia | Malalties infeccioses | Estats Units d'Amèrica | Communicable diseases | Community-acquired pneumonia | Pneumònia adquirida a la comunitat | American Thoracic Society | Medical protocols | Assistència mèdica | Infectious Diseases Society of America | Idsa Guideline | Medical Guideline
Journal Article
Critical Care, ISSN 1364-8535, 03/2014, Volume 18, Issue 2, pp. 208 - 208
DIAGNOSIS | PULMONARY INFECTION SCORE | METAANALYSIS | INTENSIVE-CARE-UNIT | HOSPITAL-ACQUIRED PNEUMONIA | STAPHYLOCOCCUS-AUREUS | SAFETY NETWORK | ATTRIBUTABLE MORTALITY | NOSOCOMIAL PNEUMONIA | ANTIBIOTIC-THERAPY | CRITICAL CARE MEDICINE | Cross Infection - therapy | Intensive Care Units - trends | Respiration, Artificial - adverse effects | Pneumonia, Ventilator-Associated - therapy | Humans | Respiration, Artificial - trends | Cross Infection - diagnosis | Pneumonia, Ventilator-Associated - epidemiology | Pneumonia, Ventilator-Associated - diagnosis | Cross Infection - epidemiology | Review
Journal Article
Clinical Infectious Diseases, ISSN 1058-4838, 09/2016, Volume 63, Issue 5, pp. 575 - 582
It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment...
Cross Infection - therapy | Pneumonia, Bacterial - therapy | Pneumonia, Ventilator-Associated - therapy | United States | Humans | Pneumonia, Bacterial - diagnosis | Pneumonia, Ventilator-Associated - diagnosis | Anti-Bacterial Agents - therapeutic use | Drug Resistance, Multiple, Bacterial | Cross Infection - diagnosis | Adult | Bacteriological Techniques | Practice Guidelines as Topic | Idsa Guideline | Medical Guideline
Cross Infection - therapy | Pneumonia, Bacterial - therapy | Pneumonia, Ventilator-Associated - therapy | United States | Humans | Pneumonia, Bacterial - diagnosis | Pneumonia, Ventilator-Associated - diagnosis | Anti-Bacterial Agents - therapeutic use | Drug Resistance, Multiple, Bacterial | Cross Infection - diagnosis | Adult | Bacteriological Techniques | Practice Guidelines as Topic | Idsa Guideline | Medical Guideline
Journal Article
Current Opinion in Pulmonary Medicine, ISSN 1070-5287, 05/2015, Volume 21, Issue 3, pp. 250 - 259
PURPOSE OF REVIEWThe present review draws our attention to ventilator-associated tracheobronchitis (VAT) as a distinct clinical entity that has been associated...
Multidrug-resistant | Prevention | Improved patient outcomes | Ventilator-associated pneumonia | Length of ICU stay | Early appropriate therapy | Bacterial pathogens | Intravenous antibiotics | Ventilator days | Aerosolized antibiotics | aerosolized antibiotics | DIAGNOSIS | intravenous antibiotics | MANAGEMENT | length of ICU stay | AMIKACIN | ventilator-associated pneumonia | bacterial pathogens | early appropriate therapy | multidrug-resistant | NOSOCOMIAL TRACHEOBRONCHITIS | IMPACT | ventilator days | RESPIRATORY SYSTEM | ANTIMICROBIAL TREATMENT | COLISTIN | improved patient outcomes | OUTCOMES | prevention | Tracheitis - drug therapy | Humans | Bronchitis - economics | Pneumonia, Ventilator-Associated - economics | Morbidity | Pneumonia, Ventilator-Associated - diagnosis | Tracheitis - economics | Bronchitis - diagnosis | Tracheitis - diagnosis | Anti-Bacterial Agents - therapeutic use | Bronchitis - drug therapy | Bronchitis - pathology | Pneumonia, Ventilator-Associated - pathology | Tracheitis - pathology | Pneumonia, Ventilator-Associated - drug therapy
Multidrug-resistant | Prevention | Improved patient outcomes | Ventilator-associated pneumonia | Length of ICU stay | Early appropriate therapy | Bacterial pathogens | Intravenous antibiotics | Ventilator days | Aerosolized antibiotics | aerosolized antibiotics | DIAGNOSIS | intravenous antibiotics | MANAGEMENT | length of ICU stay | AMIKACIN | ventilator-associated pneumonia | bacterial pathogens | early appropriate therapy | multidrug-resistant | NOSOCOMIAL TRACHEOBRONCHITIS | IMPACT | ventilator days | RESPIRATORY SYSTEM | ANTIMICROBIAL TREATMENT | COLISTIN | improved patient outcomes | OUTCOMES | prevention | Tracheitis - drug therapy | Humans | Bronchitis - economics | Pneumonia, Ventilator-Associated - economics | Morbidity | Pneumonia, Ventilator-Associated - diagnosis | Tracheitis - economics | Bronchitis - diagnosis | Tracheitis - diagnosis | Anti-Bacterial Agents - therapeutic use | Bronchitis - drug therapy | Bronchitis - pathology | Pneumonia, Ventilator-Associated - pathology | Tracheitis - pathology | Pneumonia, Ventilator-Associated - drug therapy
Journal Article
Journal of Antimicrobial Chemotherapy, ISSN 0305-7453, 12/2010, Volume 65, Issue 12, pp. 2645 - 2649
Cases of ventilator-associated pneumonia (VAP) due to multidrug-resistant (MDR) Acinetobacter baumannii and Pseudomonas aeruginosa are common in hospitalized...
Colistin | Healthcare-associated pneumonia | Inhaled therapy | INFECTIOUS DISEASES | PSEUDOMONAS-AERUGINOSA | healthcare-associated pneumonia | MICROBIOLOGY | PHARMACOLOGY & PHARMACY | inhaled therapy | colistin | Pneumonia, Bacterial - microbiology | Colistin - analogs & derivatives | Humans | Middle Aged | Colistin - administration & dosage | Gram-Negative Bacterial Infections - drug therapy | Male | Treatment Outcome | Cross Infection - drug therapy | Gram-Negative Bacterial Infections - microbiology | Anti-Bacterial Agents - therapeutic use | Gram-Negative Bacteria - drug effects | Pneumonia, Ventilator-Associated - microbiology | Cross Infection - microbiology | Aged, 80 and over | Colistin - therapeutic use | Female | Pneumonia, Bacterial - drug therapy | Aged | Anti-Bacterial Agents - adverse effects | Colistin - adverse effects | Anti-Bacterial Agents - administration & dosage | Nebulizers and Vaporizers - utilization | Pneumonia, Ventilator-Associated - drug therapy | Bronchospasm | Hospitals | Antibiotics | Sodium | Clinical trials | ventilator-associated pneumonia | Gram-negative bacteria | Drug resistance | Kidney
Colistin | Healthcare-associated pneumonia | Inhaled therapy | INFECTIOUS DISEASES | PSEUDOMONAS-AERUGINOSA | healthcare-associated pneumonia | MICROBIOLOGY | PHARMACOLOGY & PHARMACY | inhaled therapy | colistin | Pneumonia, Bacterial - microbiology | Colistin - analogs & derivatives | Humans | Middle Aged | Colistin - administration & dosage | Gram-Negative Bacterial Infections - drug therapy | Male | Treatment Outcome | Cross Infection - drug therapy | Gram-Negative Bacterial Infections - microbiology | Anti-Bacterial Agents - therapeutic use | Gram-Negative Bacteria - drug effects | Pneumonia, Ventilator-Associated - microbiology | Cross Infection - microbiology | Aged, 80 and over | Colistin - therapeutic use | Female | Pneumonia, Bacterial - drug therapy | Aged | Anti-Bacterial Agents - adverse effects | Colistin - adverse effects | Anti-Bacterial Agents - administration & dosage | Nebulizers and Vaporizers - utilization | Pneumonia, Ventilator-Associated - drug therapy | Bronchospasm | Hospitals | Antibiotics | Sodium | Clinical trials | ventilator-associated pneumonia | Gram-negative bacteria | Drug resistance | Kidney
Journal Article
Intensive Care Medicine, ISSN 0342-4642, 1/2015, Volume 41, Issue 1, pp. 34 - 48
Ventilator-associated pneumonia (VAP) is a common cause of nosocomial infection, and is related to significant utilization of health-care resources. In the...
Hospital-acquired pneumonia | Pediatrics | Ventilator-associated pneumonia | Emergency Medicine | Intensive / Critical Care Medicine | Ventilator-associated complications | Prevention | Pain Medicine | Pneumology/Respiratory System | Antimicrobial treatment | Medicine & Public Health | Nosocomial pneumonia | Anesthesiology | RANDOMIZED-TRIAL | AUREUS NOSOCOMIAL PNEUMONIA | CLINICAL-PRACTICE GUIDELINES | PULMONARY INFECTION SCORE | INTENSIVE-CARE-UNIT | DE-ESCALATION THERAPY | EMPIRIC ANTIBIOTIC-THERAPY | CRITICALLY-ILL PATIENTS | CRITICAL CARE MEDICINE | Cross Infection - therapy | Intensive Care Units | Pneumonia, Ventilator-Associated - microbiology | Pneumonia, Ventilator-Associated - therapy | Cross Infection - microbiology | Humans | Cross Infection - diagnosis | Pneumonia, Ventilator-Associated - epidemiology | Pneumonia, Ventilator-Associated - diagnosis | Cross Infection - epidemiology | Complications and side effects | Care and treatment | Diagnosis | Artificial respiration
Hospital-acquired pneumonia | Pediatrics | Ventilator-associated pneumonia | Emergency Medicine | Intensive / Critical Care Medicine | Ventilator-associated complications | Prevention | Pain Medicine | Pneumology/Respiratory System | Antimicrobial treatment | Medicine & Public Health | Nosocomial pneumonia | Anesthesiology | RANDOMIZED-TRIAL | AUREUS NOSOCOMIAL PNEUMONIA | CLINICAL-PRACTICE GUIDELINES | PULMONARY INFECTION SCORE | INTENSIVE-CARE-UNIT | DE-ESCALATION THERAPY | EMPIRIC ANTIBIOTIC-THERAPY | CRITICALLY-ILL PATIENTS | CRITICAL CARE MEDICINE | Cross Infection - therapy | Intensive Care Units | Pneumonia, Ventilator-Associated - microbiology | Pneumonia, Ventilator-Associated - therapy | Cross Infection - microbiology | Humans | Cross Infection - diagnosis | Pneumonia, Ventilator-Associated - epidemiology | Pneumonia, Ventilator-Associated - diagnosis | Cross Infection - epidemiology | Complications and side effects | Care and treatment | Diagnosis | Artificial respiration
Journal Article