Does ventilator-associated tracheobronchitis need antibiotic treatment?
- PMID: 15987416
- PMCID: PMC1175902
- DOI: 10.1186/cc3535
Does ventilator-associated tracheobronchitis need antibiotic treatment?
Abstract
It is difficult to define ventilator-associated tracheobronchitis (VAT). The most accepted definition includes fever (temperature > 38 degrees C), new or increased sputum production, a microbiologically positive respiratory sample with counts above the accepted thresholds and absence of pulmonary infiltrates on chest X-ray. Although we have no doubt that this pathologic process exists, the main controversy lies on whether this entity has any impact on the outcome and, thus, a specific therapeutic approach is suitable. We will discuss the strengths and drawbacks of the article on this topic published in this issue by Nseir et al.
Comment on
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Effect of ventilator-associated tracheobronchitis on outcome in patients without chronic respiratory failure: a case-control study.Crit Care. 2005 Jun;9(3):R238-45. doi: 10.1186/cc3508. Epub 2005 Mar 31. Crit Care. 2005. PMID: 15987396 Free PMC article.
References
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- Nseir S, Di Pompeo C, Pronnier P, Beague S, Onimus T, Saulnier F, Grandbastien B, Mathieu D, Delvallez-Roussel M, Durocher A. Nosocomial tracheobronchitis in mechanically ventilated patients: incidence, aetiology and outcome. Eur Respir J. 2002;20:1483–1489. doi: 10.1183/09031936.02.00012902. - DOI - PubMed
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- Nseir S, Di Pompeo C, Soubrier S, Lenci H, Delour P, Onimus T, Saulnier F, Mathieu D, Durocher A. Effect of Ventilator-associated tracheobronchitis on outcome in patients without chronic respiratory failure: a case–control study. Crit Care. 2005;9:R238–R245. doi: 10.1186/cc3508. - DOI - PMC - PubMed
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