IDSA2016EN

IDSA/ATS: Hospital-Acquired and Ventilator-Associated Pneumonia

Zusammenfassung

Abstract It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. IDSA considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances. These guidelines are intended for use by healthcare profe

Kerninformationen

with respect to the optimal choice of antibiotics. In an effort to minimize patient harm and exposure to unnecessary antibiotics and reduce the development of antibiotic resistance, we recommend that the antibiogram data be utilized to decrease the unnecessary use of dual gram-negative and empiric m...
or VAP (PSB With <10 3 Colony-Forming Units [CFU]/mL, BAL With <10 4 CFU/mL) Have Their Antibiotics Withheld Rather Than Continued? Noninvasive sampling with semiquantitative cultures is the preferred methodology to diagnose VAP (see section I); however, the panel recognizes that invasive quantitati...
methods to obtain respiratory samples include the following: spontaneous expectoration, sputum induction, The Use of Biomarkers and Clinical Pulmonary Infection Score to Diagnose VAP and HAP IV. In Patients With Suspected HAP/VAP, Should Procalcitonin (PCT) Plus Clinical Criteria or Clinical Criteri...
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