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Updated: May 22, 2026

Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
Ventilator-associated pneumonia: a comprehensive review
1Service de Réanimation Médicale, Institut de Cardiologie, Groupe Hospitalier Pitié Salpêtrière, Assistance Publique-Hôpitaux de Paris, Faculté de Médecine Paris 6-Pierre et Marie Curie, Paris, France. jean-louis.trouillet@psl.aphp.fr.
Abstract:
Ventilator-associated pneumonia (VAP) is the most frequent and severe infection acquired in the intensive care unit, leading to prolonged mechanical ventilation and excess mortality. This article reviews the different aspects of VAP, such as risk factors, causative agents, and approaches to diagnosis, treatment, and prevention. Several aspects of VAP are still considered controversial.
Insights
Ventilator-associated pneumonia (VAP) is a common and serious intensive care unit infection. This review covers VAP
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Pulmonology
Background:
- Ventilator-associated pneumonia (VAP) is the most frequent severe infection in the intensive care unit (ICU).
- VAP is associated with prolonged mechanical ventilation and increased mortality.
- Despite its significance, several aspects of VAP remain controversial.
Purpose of the Study:
- To provide a comprehensive review of ventilator-associated pneumonia (VAP).
- To discuss risk factors, causative agents, diagnosis, treatment, and prevention strategies for VAP.
- To highlight controversial areas in VAP management.
Main Methods:
- Literature review of VAP.
- Synthesis of current knowledge on VAP epidemiology, pathogenesis, and clinical management.
- Identification of areas requiring further research.
Main Results:
- VAP presents significant challenges in diagnosis and management.
- Multiple factors contribute to VAP development.
- Effective prevention strategies are crucial but debated.
- Treatment approaches vary, with ongoing controversies.
Conclusions:
- VAP requires a multifaceted approach involving prevention, early diagnosis, and appropriate treatment.
- Further research is needed to resolve controversial aspects of VAP management.
- Optimizing VAP care is essential for improving patient outcomes in the ICU.
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