Nonantibiotic Measures to Control Ventilator-Associated Pneumonia

摘要: Despite an increased understanding of the pathogenesis hospital-acquired pneumonia (HAP) and advances in diagnosis treatment, risk, cost, morbility mortality HAP remain unacceptably high. Preventing is most important step to improve standard care cost-effectiveness. Prevention efforts must be part evidence-based, multidisciplinary prevention program with a team that sets benchmarks, establishes goals timelines, provides education training staff. Nonantibiotic strategies include measures related correct artificial airway, directly maintaining mechanical ventilator equipment, focusing on gastrointestinal tract position intubated patients. In this chapter, variety are suggested for preventing according setting individual risk profile, nonantibiotic being main topic, particular, semirecumbent position, continuous subglottic aspiration, chlorhexidine oral rinse, silver-coated endotracheal tubes, probiotics.