VAP prevention â non-antimicrobial methods
VAP prevention â non-antimicrobial methods
VAP prevention â non-antimicrobial methods
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PREVENTION STRATEGIES FOR <strong>VAP</strong><br />
Hand hygiene<br />
Avoid unnecessary antibiotics<br />
Shorten antibiotic courses<br />
Avoid ulcer prophylaxis<br />
Use sucralfate if required<br />
Closed circuit suctioning<br />
Chlorhexidine oral rinse<br />
Consider SDD<br />
Consider NIV<br />
Shorten duration of MV<br />
Semi-recumbent position<br />
Avoid circuit manipulation<br />
Avoid patient transportation<br />
Reduce accidental extubation<br />
Subglottic suctioning<br />
Optimize cuff design/pressure<br />
Coating the catheter<br />
PATHOGENESIS OF <strong>VAP</strong><br />
Bacterial Colonisation<br />
(oropharynx, stomach, sinuses)<br />
Aspiration of Contaminated<br />
Secretions<br />
(& ventilator circuit condensate/aerosol)<br />
<strong>VAP</strong><br />
The relationship between pathogenesis and <strong>prevention</strong> strategies for <strong>VAP</strong><br />
Modified from Kollef M, Crit Care Med 2004; 32: 1396-1405
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