释义 |
ventilator-assistance pneumonia ventilator-assistance pneumonia Ventilator pneumonia ICU Pneumonia linked to prolonged use of a ventilator, seen in 25% of Pts after 48 hrs of mechanical ventilation Risk factors Age > 70, COPD, NG tubes, prior chest surgery, H-2 or antacid therapy Clinical New, persistent, progressive infiltrate, fever, leukocytosis, purulent tracheobronchial secretions–only half of Pts meeting these criteria have VAP Common pathogens.Acinetobacter spp, S aureus, Pseudomonas aeruginosa, Enterobacter spp, Serratia marscescens Management Vancomycin, amikacin, imipenem |