RT Journal Article
SR Electronic
T1 International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 1700582
DO 10.1183/13993003.00582-2017
VO 50
IS 3
A1 Antoni Torres
A1 Michael S. Niederman
A1 Jean Chastre
A1 Santiago Ewig
A1 Patricia Fernandez-Vandellos
A1 Hakan Hanberger
A1 Marin Kollef
A1 Gianluigi Li Bassi
A1 Carlos M. Luna
A1 Ignacio Martin-Loeches
A1 J. Artur Paiva
A1 Robert C. Read
A1 David Rigau
A1 Jean François Timsit
A1 Tobias Welte
A1 Richard Wunderink
YR 2017
UL http://erj.ersjournals.com/content/50/3/1700582.abstract
AB The most recent European guidelines and task force reports on hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) were published almost 10 years ago. Since then, further randomised clinical trials of HAP and VAP have been conducted and new information has become available. Studies of epidemiology, diagnosis, empiric treatment, response to treatment, new antibiotics or new forms of antibiotic administration and disease prevention have changed old paradigms. In addition, important differences between approaches in Europe and the USA have become apparent.The European Respiratory Society launched a project to develop new international guidelines for HAP and VAP. Other European societies, including the European Society of Intensive Care Medicine and the European Society of Clinical Microbiology and Infectious Diseases, were invited to participate and appointed their representatives. The Latin American Thoracic Association was also invited.A total of 15 experts and two methodologists made up the panel. Three experts from the USA were also invited (Michael S. Niederman, Marin Kollef and Richard Wunderink).Applying the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) methodology, the panel selected seven PICO (population–intervention–comparison–outcome) questions that generated a series of recommendations for HAP/VAP diagnosis, treatment and prevention.ERS/ESICM/ESCMID/ALAT evidence-based recommendations for HAP/VAP diagnosis, treatment and prevention http://ow.ly/dGhv30dAVoa