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  Vol. 297 No. 14, April 11, 2007 TABLE OF CONTENTS
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Ventilator-Associated Pneumonia

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ventilator-associated pneumonia (VAP), defined as pneumonia (infection of the lung) occurring in a person who has been assisted by mechanical ventilation (a breathing machine) within the past 48 hours, is a serious and life-threatening infection. Because individuals who contract ventilator-associated pneumonia are already critically ill (requiring mechanical ventilation), the death rate from ventilator-associated pneumonia is high. The April 11, 2007, issue of JAMA includes an article on ventilator-associated pneumonia.


Figure 1

RISK FACTORS

  • Mechanical ventilation and endotracheal intubation (breathing tube in the throat)
  • Longer duration of mechanical ventilation
  • Advanced age
  • Depressed level of consciousness
  • Preexisting lung disease
  • Immune suppression from disease or medication
  • Malnutrition


PREVENTION

  • Hand-washing procedures before and after any patient contact
  • Avoiding endotracheal intubation if possible
  • Maintaining the bed in a 30-degree head-up position
  • Use of oral, rather than nasal, endotracheal tubes
  • Minimizing the duration of mechanical ventilation
  • Conversion totracheostomy (hole in the throat) tube when ventilation is needed for a . . . [Full Text of this Article]

Janet M. Torpy, MD, Writer; Cassio Lynm, MA, Illustrator; Richard M. Glass, MD, Editor







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