NEUMONÍA ASOCIADA A VENTILACIÓN MECÁNICA. ACTUALIZACIÓN Y RECOMENDACIONES INTER-SOCIEDADES, SOCIEDAD ARGENTINA DE INFECTOLOGÍA - SOCIEDAD ARGENTINA DE TERAPIA INTENSIVA.

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Title:	NEUMONÍA ASOCIADA A VENTILACIÓN MECÁNICA. ACTUALIZACIÓN Y RECOMENDACIONES INTER-SOCIEDADES, SOCIEDAD ARGENTINA DE INFECTOLOGÍA - SOCIEDAD ARGENTINA DE TERAPIA INTENSIVA.
Alternate Title:	Pneumonia associated with mechanical ventilation. Update and recommendations inter-Societies SADI-SATI.
Authors:	CORNISTEIN, WANDA¹ wandacornistein@gmail.com, COLQUE, ÁNGEL M.², STANELONI, MARÍA INÉS³, LLORIA, MARÍA MONSERRAT⁴, LARES, MÓNICA⁵, GONZÁLEZ, ANA LAURA⁵, GARCÉS, ALEJANDRO FERNÁNDEZ⁶, CARBONE, EDITH⁷
Source:	Revista Medicina. Mar/Abr2018, Vol. 78 Issue 2, p99-106. 8p.
Abstract (English):	Representatives of the Argentine Society of Infectious Diseases (SADI) and the Argentine Society of Intensive Therapy (SATI) worked together on the development of specific recommendations for the diagnosis, treatment and prevention of ventilator-associated pneumonia (VAP). The methodology used was the analysis of the literature published in the last 15 years, complemented with the opinion of experts and local data. This document aims to offer basic tools to optimize diagnosis based on clinical and microbiological criteria, orientation in empirical and targeted antibiotic schemes, news on posology and administration of antibiotics in critical patients and to promote effective measures to reduce the risk of VAP. It also offers a diagnostic and treatment algorithm and considerations on inhaled antibiotics. The joint work of both societies-infectious diseases and intensive care-highlights the concern for the management of VAP and the importance of ensuring improvement in daily practices. This guideline established recommendations to optimize the diagnosis, treatment and prevention of VAP in order to reduce morbidity and mortality, days of hospitalization, costs and resistance to antibiotics due to misuse of antimicrobials. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Representantes de la Sociedad Argentina de Infectología (SADI) y la Sociedad Argentina de Terapia Intensiva (SATI) se unieron para trabajar en la elaboración de recomendaciones de diagnóstico, tratamiento y prevención de la neumonía asociada a ventilación mecánica (NAVM). La metodología utilizada fue el análisis de la bibliografía publicada en los últimos 15 años, complementada con la opinión de expertos y los datos locales. En este documento se pretende ofrecer herramientas básicas de optimización del diagnóstico en base a criterios clínicos y microbiológicos, orientación en los esquemas antibióticos empíricos y dirigidos, novedades en posología y administración de antibióticos en pacientes críticos y promocionar las medidas efectivas para reducir el riesgo de NAVM. Asimismo, ofrece un algoritmo de diagnóstico y tratamiento y consideraciones sobre antibióticos inhalados. El trabajo conjunto de ambas sociedades, infectólogos y terapistas, pone en evidencia la preocupación por el manejo de la NAVM y la importancia de velar por la mejora en las prácticas cotidianas. A través de esta recomendación se establecen pautas locales para optimizar el diagnóstico, tratamiento y prevención de la NAVM con el objeto de disminuir la morbimortalidad, días de internación, costos y resistencia a antibióticos debida al mal uso de los antimicrobianos. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Representatives of the Argentine Society of Infectious Diseases (SADI) and the Argentine Society of Intensive Therapy (SATI) worked together on the development of specific recommendations for the diagnosis, treatment and prevention of ventilator-associated pneumonia (VAP). The methodology used was the analysis of the literature published in the last 15 years, complemented with the opinion of experts and local data. This document aims to offer basic tools to optimize diagnosis based on clinical and microbiological criteria, orientation in empirical and targeted antibiotic schemes, news on posology and administration of antibiotics in critical patients and to promote effective measures to reduce the risk of VAP. It also offers a diagnostic and treatment algorithm and considerations on inhaled antibiotics. The joint work of both societies-infectious diseases and intensive care-highlights the concern for the management of VAP and the importance of ensuring improvement in daily practices. This guideline established recommendations to optimize the diagnosis, treatment and prevention of VAP in order to reduce morbidity and mortality, days of hospitalization, costs and resistance to antibiotics due to misuse of antimicrobials. [ABSTRACT FROM AUTHOR]
ISSN:	13900218