Uso de antibióticos nebulizados en pacientes con neumonía asociada al respirador. Revisión de la literatura
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El uso sistémico de antibióticos en pacientes con neumonía asociada al respirador (NAR) se considera el tratamiento estándar. El uso de antibióticos nebulizados, sea como monoterapia o, más importante, combinado con los antibióticos endovenosos, han demostrado tener varios beneficios farmacológicos: a) los antibióticos nebulizados alcanzan el parénquima pulmonar sin cruzar la barrera alvéolo capilar; b) los antibióticos nebulizados logran mayor eficacia antibacteriana al alcanzar altas concentraciones locales; y c) los antibióticos nebulizados disminuye la toxicidad sistémica. Estos beneficios son particularmente importante para tratar NAR causadas por organismos multirresistentes. Aún los datos clínicos sobre los beneficios de los antibóticos nebulizados son limitados.
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