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Updated: Apr 23, 2026

Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
Ventilator-associated pneumonia
Mv Pravin Charles1, Arunava Kali1, Joshy M Easow1
1Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
Background:
Ventilator-associated pneumonia (VAP) is a type of nosocomial pneumonia that occurs in patients who receive mechanical ventilation (MV). According to the International Nosocomial Infection Control Consortium (INICC), the overall rate of VAP is 13.6 per 1,000 ventilator days. The incidence varies according to the patient group and hospital setting. The incidence of VAP ranges from 13-51 per 1,000 ventilation days. Early diagnosis of VAP with appropriate antibiotic therapy can reduce the emergence of resistant organisms.
Method:
The aim of this review was to provide an overview of the incidence, risk factors, aetiology, pathogenesis, treatment, and prevention of VAP. A literature search for VAP was done through the PUBMED/MEDLINE database. This review outlines VAP's risk factors, diagnostic methods, associated organisms, and treatment modalities.
Conclusion:
VAP is a common nosocomial infection associated with ventilated patients. The mortality associated with VAP is high. The organisms associated with VAP and their resistance pattern varies depending on the patient group and hospital setting. The diagnostic methods available for VAP are not universal; however, a proper infection control policy with appropriate antibiotic usage can reduce the mortality rate among ventilated patients.
Insights
Ventilator-associated pneumonia (VAP) is a common hospital infection in mechanically ventilated patients. Implementing infection control policies and judicious antibiotic use can lower VAP
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Pulmonology
Background:
- Ventilator-associated pneumonia (VAP) is a significant nosocomial infection in patients requiring mechanical ventilation (MV).
- VAP incidence rates range from 13 to 51 per 1,000 ventilation days, varying by patient group and hospital setting.
- Early VAP diagnosis and antibiotic treatment are crucial to mitigate the rise of resistant pathogens.
Purpose of the Study:
- To review the incidence, risk factors, etiology, pathogenesis, treatment, and prevention of VAP.
- To outline diagnostic methods, common organisms, and treatment strategies for VAP.
Main Methods:
- A comprehensive literature search was conducted using the PUBMED/MEDLINE database.
- The review synthesizes information on VAP's epidemiology and clinical management.
Main Results:
- VAP is a prevalent nosocomial infection in ventilated patients, associated with high mortality.
- The spectrum of VAP-causing organisms and their resistance patterns are variable.
- Current VAP diagnostic methods lack universal standardization.
Conclusions:
- Effective infection control policies and appropriate antibiotic stewardship are vital for reducing VAP mortality.
- Tailored management strategies are necessary due to variations in VAP pathogens and resistance.
- Improving diagnostic accuracy and implementing preventive measures are key to better patient outcomes.
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