Document Detail


Recommendations for treatment of hospital-acquired and ventilator-associated pneumonia: review of recent international guidelines.
MedLine Citation:
PMID:  20597671     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recently published guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia are reviewed for recommendations regarding diagnosis and antimicrobial therapy to assess the implications for development of future clinical trials. Despite some differences (mostly related to likely pathogens), there is a general agreement about the recommended approach to management. All of the reviewed guidelines invariably recommend early, appropriate antimicrobial therapy and avoidance of excessive antimicrobials by deescalation of therapy on the basis of microbiological culture results and the clinical response of the patient. Developers of future clinical trials will need to be mindful of these recommendations to maintain best practice care for each investigator.
Authors:
Thomas M File
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  51 Suppl 1     ISSN:  1537-6591     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-11-08     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S42-7     Citation Subset:  IM    
Affiliation:
Northeastern Ohio Universities College of Medicine, Rootstown, and Summa Health System, Akron, Ohio, USA. FileT@summa-health.org
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use*
Bacteria / drug effects,  isolation & purification
Clinical Trials as Topic
Cross Infection / diagnosis,  drug therapy*
Hospitals
Humans
Microbial Sensitivity Tests
Pneumonia, Bacterial / diagnosis,  drug therapy*
Pneumonia, Ventilator-Associated / diagnosis,  drug therapy*
Practice Guidelines as Topic*
Time Factors
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents
Comments/Corrections
Erratum In:
Clin Infect Dis. 2010 Nov 1;51(9):1114

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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