VAP prevention â non-antimicrobial methods

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Nosocomial pneumonia risk & stress ulcer prophylaxis: a comparison of pantoprazole vs. ranitidine in cardiothoracic surgery patients. Miano TA et al, Chest 2009; 136: 440-7 • SUP is associated with ↑ risk of <strong>VAP</strong> • PPIs are linked to ↑ risk of CAP • Retrospective review of 824 patients receiving SUP PPI N=377 H 2 RA N=457 Nosocomial pneumonia 9.3% 1.5% 6.6 (2.9-14.9) OR • Multivariate logistic regression – pantoprazole was only factor +ve for pneumonia: OR 2.7 (1.1-6.7) SUP unlikely to have major effect on <strong>VAP</strong>, but some effect…
Page 1 and 2: Monday 6 th September 2010 London V
Page 3 and 4: 1970 - 1980’s VAP is an iatrogeni
Page 5 and 6: Pepsin - in the lungs! • Intra-tr
Page 7 and 8: Supine body position as a risk fact
Page 9 and 10: Benefits seen in ‘Drakulovic’ t
Page 11 and 12: Oropharyngeal cleansing with 0.2% c
Page 13 and 14: Draft High Impact Intervention No 5
Page 15 and 16: Silver-coated ET tubes & VAP
Page 17 and 18: Silver-coated ET tubes & VAP VAP @
Page 19 and 20: Pneumonia in intubated patients: ro
Page 22 and 23: Subglottic Secretion Drainage Tubes
Page 24 and 25: Subglottic Secretion Drainage & VAP
Page 28 and 29: Stress ulcer prophylaxis & VAP VAP/
Page 30 and 31: The UK TracMan trial N=909 Early (D
Page 32 and 33: Tight glucose control to prevent VA
Page 34 and 35: Tight glucose control to prevent VA
Page 36 and 37: Selective Decontamination to preven

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VAP prevention â non-antimicrobial methods