Guidelines
Ventilator-Associated Pneumonia

Ventilator-Associated Pneumonia

Microbiology

Treatment

If patient is not at high risk of mortality and has no risk factors for MDR, monotherapy is sufficient

Clinical Considerations

Onset 48-72 hours or more after intubation

Pulmonary Symptoms

  • Cough
  • Dyspnea
  • Tachypnea
  • Crackles or rales
  • Hypoxemia
  • Sputum production

Systemic Symptoms

  • Fever
  • Leukocytosis
  • Chills
  • Fatigue
  • Tachycardia

Chest X-Ray

  • Single or multi-lobe involvement with consolidations, opacities, and/or interstitial infiltrates
  • Sputum gram stain + Pneumonia Panel PCR
  • 2 blood cultures

PSI, CURB-65 and chest x-ray (if worsened symptoms)

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