Abstract

HAP/VAP: Simpler May Be Cetter

Highlights

  • If we compare and contrast the treatment section of these guidelines with those from the American Thoracic Society – Infectious Diseases Society of America (ATS/IDSA), it becomes immediately obvious that they are quite different (1)

  • The main determinant in the American approach is whether the patient has risk factors for multidrug-resistant organisms

  • Most clinicians and investigators would agree that infection with P aeruginosa is more likely to result in a severe clinical presentation than is infection caused by other pathogens

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Summary

Introduction

If we compare and contrast the treatment section of these guidelines with those from the American Thoracic Society – Infectious Diseases Society of America (ATS/IDSA), it becomes immediately obvious that they are quite different (1). The American approach to HAP/VAP certainly has its shortcomings, and there is nothing wrong with disagreeing with this approach as long as the data are there to support such a stance. The main determinant in the American approach is whether the patient has risk factors for multidrug-resistant organisms.

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