International conference for the development of consensus on the diagnosis and treatment of ventilator-associated pneumonia

• Type: Another Publication in an International Scientific Journal
• Date: 2001

Authors

Rello, J (Author) Other; Paiva, J-A (Author) Other; Baraibar, J (Author) Other; Barcenilla, F (Author) Other; Bodi, M (Author) Other; Castander, D (Author) Other; Correa, H (Author) Other; Diaz, E (Author) Other; Garnacho, J (Author) Other; Llorio, M (Author) Other; Rios, M (Author) Other; Rodriguez, A (Author) Other; Sole Violan, J (Author) Other

Journal

Title: Chest

Vol. 120

Pages: 955-970

ISSN: 0012-3692

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 147 Citations

Other information

Authenticus ID: P-000-TBS

DOI: 10.1378/chest.120.3.955

Abstract (EN): Ventilator-associated pneumonia (NAP) is an important health problem that still generates great controversy. A consensus conference attended by 12 researchers from Europe and Latin America was held to discuss strategies for the diagnosis and treatment of NAP. Commonly asked questions concerning VAP management were selected for discussion by the participating researchers. Possible answers to the questions were presented to the researchers, who then recorded their preferences anonymously. This was followed by open discussion when the results were known. In general, peers thought that early microbiological examinations are warranted and contribute to improving the use of antibiotherapy. Nevertheless, no consensus was reached regarding choices of antimicrobial agents or the optimal duration of therapy. Piperacillin/tazobactam was the preferred choice for empiric therapy, followed by a cephalosporin with antipseudomonal activity and a carbapenem. All the peers agreed that the pathogens causing VAP and multiresistance patterns in their ICUs were substantially different from those reported in studies in the United States. Pathogens and multiresistance patterns also varied from researcher to researcher inside the group. Consensus was reached on the importance of local epidemiology surveillance programs and on the need for customized empiric antimicrobial choices to respond to local patterns of pathogens and susceptibilities.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 16