Prophylaxis of Ventilator-Associated Pneumonia

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Prophylaxis of Ventilator-Associated Pneumonia Donald E. Craven, MD, Karin Hjalmarson, MD CHEST Volume 134, Issue 5, Pages 898-900 (November 2008) DOI: 10.1378/chest.08-1735 Copyright © 2008 The American College of Chest Physicians Terms and Conditions

Figure 1 Schematic diagram of an intubated patient with an ETT in the trachea, emphasizing the high concentrations of bacteria in the oropharynx and the presence of bacteria above the ETT cuff that can be removed by CASS. Note the number of bacteria isolated by semiquantiative endotracheal aspiration (SQ-ETA) and quantitative endotracheal aspiration (Q-ETA) aspirates needed for a microbiological diagnosis of VAT and VAP. Also shown are the quantitative levels of bacteria needed for the microbiological diagnosis of VAP by distal lung samples obtained by BAL or protected specimen brush. NG = nasogastric (tube). CHEST 2008 134, 898-900DOI: (10.1378/chest.08-1735) Copyright © 2008 The American College of Chest Physicians Terms and Conditions