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Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

Clinical Infectious Diseases · 2016 · Vol. 63(5) · pp. e61–e111

André C. Kalil✉(University of Nebraska Medical Center)Mark L. Metersky(University of Connecticut)Michael Klompas(Brigham and Women's Hospital)John Muscedere(Queen's University)Daniel A. Sweeney(University of California System)Lucy B. Palmer(State University of New York)Lena M. Napolitano(Michigan Medicine)Naomi P. O’Grady(National Institutes of Health Clinical Center)John G. Bartlett(Johns Hopkins University)Jordi Carratalà(Institut d'Investigació Biomédica de Bellvitge)Ali A. El Solh(VA Western New York Healthcare System)Santiago Ewig(Augusta-Kranken-Anstalt)Paul D. Fey(University of Nebraska Medical Center)Thomas M. File(Summa Health System)Marcos I. Restrepo(The University of Texas Health Science Center at San Antonio)Jason A. Roberts(University of Queensland)Grant Waterer(University of Western Australia)Peggy Cruse(National Jewish Health)Shandra L. Knight(National Jewish Health)Jan Brożek(McMaster University)

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Abstract

It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. IDSA considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.These guidelines are intended for use by healthcare professionals who care for patients at risk for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), including specialists in infectious diseases, pulmonary diseases, critical care, and surgeons, anesthesiologists, hospitalists, and any clinicians and healthcare providers caring for hospitalized patients with nosocomial pneumonia. The panel's recommendations for the diagnosis and treatment of HAP and VAP are based upon evidence derived from topic-specific systematic literature reviews.

Nosocomial Infections in ICU Pneumonia and Respiratory Infections Respiratory Support and MechanismsMedicinePneumoniaIntensive care medicineHealth careVentilator-associated pneumoniaMEDLINEHealth professionalsFamily medicineInternal medicine

MeSH terms

AdultAnti-Bacterial AgentsBacteriological TechniquesCross InfectionHumansUnited StatesPneumonia, BacterialDrug Resistance, Multiple, BacterialPneumonia, Ventilator-Associated