Abstract
The interesting study reported by Bonten et al 1 Bonten M.J.M. Gaillard C.A. Van Tiel F.H. et al. The Stomach is not a source for colonization of the upper respiratory tract and pneumonia in ICU patients. Chest. 1994; 105: 878-884 Abstract Full Text Full Text PDF PubMed Scopus (155) Google Scholar may at first seem an important contribution to the debate over the pathogenesis of ventilator-associated pneumonia. Unfortunately, Bonten et al have not investigated the bacteriology of the oropharynx, stomach, and trachea with the same rigor as they established a diagnosis of pneumonia.
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