Update of the Treatment of Nosocomial Pneumonia in the ICU

Rafael Zaragoza; Pablo Vidal-Cortés; Gerardo Aguilar; Marcio Borges; Emili Diaz; Ricard Ferrer; Emilio Maseda; Mercedes Nieto; Francisco Xavier Nuvials; Paula Ramirez; Alejandro Rodriguez; Cruz Soriano; Javier Veganzones; Ignacio Martín-Loeches


Crit Care. 2020;24(383) 

In This Article


Determining the risk factor for nosocomial pneumonia is one of the pillars for the antibiotic selection. There are different risk factors: patient-related (prolonged hospital length of stay and comorbidities, use of prior antibiotics and septic shock), procedure-related (deficient hand hygiene or inappropriate care of respiratory support devices) and intervention-related (immunosuppressants and prolonged/inappropriate antibiotic treatment). Antibiotic treatment (including new ones) must be administered early and be appropriate. These aspects are key to VAP outcomes because of the severity of patients and the possible onset of MDROs.