Preventing ventilator-associated pneumonia: A position paper of the International Society for Infectious Diseases, 2024 update.

IF 4.8 2区医学 Q1 INFECTIOUS DISEASES International Journal of Infectious Diseases Pub Date : 2024-11-16 DOI:10.1016/j.ijid.2024.107305

Victor Daniel Rosenthal, Ziad A Memish, Gonzalo Bearman

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Abstract

Objectives: This review by a panel of experts convened by the International Society for Infectious Diseases aims to consolidate current recommendations for preventing ventilator-associated pneumonia (VAP). It provides insights into VAP rates, the attributable extra length of stay, costs, mortality, and risk factors in high-income and low- and middle-income countries (LMICs).

Methods: A comprehensive review of existing recommendations and evidence-based strategies for preventing VAP was conducted. The expert panel analyzed data on VAP incidence, associated healthcare burdens, and risk factors across different economic settings to formulate applicable preventive measures.

Results: The review identifies significant differences in VAP rates, healthcare costs, extra length of hospital stay, and mortality between high-income and LMICs. Evidence-based strategies for preventing VAP were highlighted, demonstrating their effectiveness across different healthcare settings.

Conclusion: The recommendations and insights provided in this position paper aim to guide healthcare professionals in effectively preventing VAP. The adoption of evidence-based preventive strategies can potentially reduce VAP rates, and associated costs, and improve patient outcomes in both high-income and LMICs.

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预防呼吸机相关肺炎：国际传染病学会立场文件，2024 年更新版。

目的：本综述由国际传染病学会 (ISID) 召集的专家小组撰写，旨在整合当前预防呼吸机相关肺炎 (VAP) 的建议。报告深入分析了高收入国家和中低收入国家的 VAP 发生率、可归因的额外住院时间、成本、死亡率和风险因素：方法：对预防 VAP 的现有建议和循证策略进行了全面审查。专家小组分析了不同经济环境下 VAP 发病率、相关医疗负担和风险因素的数据，以制定适用的预防措施：结果：审查发现，高收入国家与中低收入国家在 VAP 发生率、医疗成本、额外住院时间和死亡率方面存在显著差异。重点介绍了以证据为基础的预防 VAP 的策略，证明了这些策略在不同医疗环境中的有效性：本立场文件提出的建议和见解旨在指导医护人员有效预防呼吸机相关肺炎。在高收入和中低收入国家，采用循证预防策略有可能降低 VAP 发生率和相关成本，并改善患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Infectious Diseases 医学-传染病学

CiteScore

18.90

自引率

2.40%

发文量

1020

审稿时长

30 days

期刊介绍： International Journal of Infectious Diseases (IJID) Publisher: International Society for Infectious Diseases Publication Frequency: Monthly Type: Peer-reviewed, Open Access Scope: Publishes original clinical and laboratory-based research. Reports clinical trials, reviews, and some case reports. Focuses on epidemiology, clinical diagnosis, treatment, and control of infectious diseases. Emphasizes diseases common in under-resourced countries.