Keywords
ventilator
diagnosis
treatment
prevention
How to Cite
Abstract
Representatives from the Argentine Society of Infectology (SADI) and the Argentine Society of Intensive Care (SATI) joined forces to develop a consensus on the diagnosis, treatment, and prevention of ventilator-associated pneumonia (VAP). The methodology used consisted of a qualitative analysis of the evidence published since the last update in 2018, complemented by expert opinions and local data. This document updates the incidence and epidemiology of VAP, addresses the limitations of clinical diagnosis, and explores the role of lung ultrasound. It also analyzes the advantages and disadvantages of biomarkers, as well as rapid microbiological identification methods to optimize diagnosis. The document includes the preferred and alternative therapeutic options for empirical and targeted treatment, and establishes the optimal duration of treatment. Finally, it summarizes the available evidence on VAP prevention and the implementation of measure bundles to reduce its incidence. The joint work of both societies, including infectious disease specialists and intensivists, highlights the concern for managing VAP and the importance of improving daily clinical practices. Through this consensus, local guidelines have been agreed to optimize the diagnosis, treatment, and prevention of VAP, aiming to reduce the impact of this infection on patients hospitalized in critical care units.
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Copyright (c) 2025 Wanda Cornistein, Yanina Nuccetelli, Emilio F. Huaier Arriazu, Mónica Lares, María Cecilia García, Ana Laura González, Norma Cudmani, Marco Flores Montes, Laura De Aguilar, Analía De Cristófano, Miriam Blanco