Published in:
01-04-2020 | Aminoglycoside | Understanding the Disease
Ventilator-associated pneumonia caused by multidrug-resistant Gram-negative bacteria: understanding nebulization of aminoglycosides and colistin
Authors:
J. J. Rouby, C. Sole-Lleonart, J. Rello, the European Investigators Network for Nebulized Antibiotics in Ventilator-associated Pneumonia
Published in:
Intensive Care Medicine
|
Issue 4/2020
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Excerpt
The use of nebulized antibiotics for treating ventilator-associated pneumonia (VAP) caused by multidrug-resistant (MDR) Gram-negative bacteria (GNB) increases worldwide. There is a paradox, however, between the large body of experimental evidence supporting the administration of nebulized rather than intravenous aminoglycosides and colistin to treat inoculation pneumonia caused by GNB [
1,
2], and the paucity of clinical studies confirming such a benefit in VAP. Based on the recommendations of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) [
3,
4], the present article examines this apparent contradiction and suggests some directions for further research and clinical practice. …