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Introduction: Current guidelines for the microbiological diagnosis of ventilator-associated pneumonia VAP are imprecise. Based on data provided by intensive care specialists ICS and microbiologists, this study defines the clinical practices and microbiological techniques currently used for an aetiological diagnosis of VAP and pinpoints deficiencies.
Methods: Eighty hospitals in the national health network with intensive care and microbiology departments were sent two questionnaires, one for each department, in order to collect data on VAP diagnosis for the previous year.
Results: Out of the 80 hospitals, 35 Mean turnaround time for a microbiological report was 1. No written procedures were available in half the ICUs. Conclusions: Both ICS and microbiologists agreed that present guidelines for the diagnosis of VAP could be much improved, and that a new set of consensus guidelines is urgently required. A need for guidelines to be more effectively implemented was also identified in order to improve outcomes in patients with VAP.
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Similar articles Guidelines for the prevention of ventilator-associated pneumonia and their implementation. Med Intensiva. Epub Mar 1. Clinical predictors and microbiology of ventilator-associated pneumonia in the intensive care unit: a retrospective analysis in six Italian hospitals.
Delle Rose D, et al. Epub Jun 6. PMID: Epidemiology of ventilator-associated pneumonia in a long-term acute care hospital. Walkey AJ, et al. Infect Control Hosp Epidemiol. Evidence-based algorithms for diagnosing and treating ventilator-associated pneumonia. Wall RJ, et al. J Hosp Med. PMID: Review. Ventilator associated pneumonia in the ICU: where has it gone? Guillamet CV, et al. Curr Opin Pulm Med. Show more similar articles See all similar articles. Cited by 1 article Emerging strategies for the noninvasive diagnosis of nosocomial pneumonia.
Liapikou A, et al. Expert Rev Anti Infect Ther. Epub Jun Publication types Multicenter Study Actions. MeSH terms Attitude Actions. Bacteriology Actions. Critical Care Actions. Hospitals Actions. Humans Actions. Intensive Care Units Actions. Self Report Actions. Spain Actions. Full-text links [x] Elsevier Science. Copy Download.
Archivos de Bronconeumologia http: www. Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal. It is a monthly Journal that publishes a total of 12 issues, which contain these types of articles to different extents. All manuscripts are sent to peer-review and handled by the Editor or an Associate Editor from the team.