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Intensive Care Medicine
Published in: Intensive Care Medicine 11/2014

01-11-2014 | Editorial

New developments in the diagnosis of VAP make bronchoalveolar lavage less useful: some considerations

Authors: Antoni Torres, Laia Fernández-Barat

Published in: Intensive Care Medicine | Issue 11/2014

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Excerpt

Although the incidence of ventilator-associated pneumonia (VAP) has decreased in the last 5 years, VAP is still an important complication of mechanically ventilated patients. The diagnosis of VAP is a frequent clinical challenge and remains a matter of debate. …
Literature
1.
Fabregas N, Ewig S, Torres A, El Ebiary M, Ramirez J, de la Bellacasa JP, Bauer T, Cabello H (1999) Clinical diagnosis of ventilator associated pneumonia revisited: comparative validation using immediate post-mortem lung biopsies. Thorax 54:867–873PubMedCrossRefPubMedCentral
2.
Pugin J, Auckenthaler R, Mili N, Janssens JP, Lew PD, Suter P (1991) Diagnosis of ventilator associated pneumonia by bacteriologic analysis of bronchoscopic and non-bronchoscopic “blind” bronchoalveolar lavage fluid. Am Rev Respir Dis 143:1121–1129PubMedCrossRef
3.
Klompas M, Kleinman K, Khan Y, Evans RS, Lloyd JF, Stevenson K, Samore M, Platt R (2012) Rapid and reproducible surveillance for ventilator-associated pneumonia. Clin Infect Dis 54:370–377PubMedCrossRef
4.
Muscedere J, Sinuff T, Heyland DK, Dodek PM, Keenan SP, Wood G, Jiang X, Day AG, Laporta D, Klompas M (2013) The clinical impact and preventability of ventilator-associated conditions in critically ill patients who are mechanically ventilated. Chest 144:1453–1460PubMedCrossRef
5.
Luyt CE, Guerin V, Combes A, Trouillet JL, Ayed SB, Bernard M, Gibert C, Chastre J (2005) Procalcitonin kinetics as a prognostic marker of ventilator-associated pneumonia. Am J Respir Crit Care Med 171:48–53PubMedCrossRef
6.
Bos LDJ, Martin-Loeches I, Artigas A (2014) Innovations that could improve early recognition of ventilator-associated pneumonia. Intensive Care Med 40:1352–1354. doi:10.​1007/​s00134-014-3356-y
Metadata
Title
New developments in the diagnosis of VAP make bronchoalveolar lavage less useful: some considerations
Authors
Antoni Torres
Laia Fernández-Barat
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 11/2014
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-014-3466-6

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