Abstract
Nosocomial pneumonia and ventilator-associated pneumonia (VAP, nosocomial pneumonia after 48 h of mechanical ventilation) are currently the second leading cause of nosocomial infections and account for approximately 10% to 15% of all hospital-acquired infections [1–3]. The incidence of nosocomial pneumonia is increased for all patients in intensive care units (ICU), where respiratory infections have been reported to be the most frequent type of nosocomial infections [4]. During the last 10 years, several diagnostic methods have been developed to microbiologically confirm the clinical diagnosis, especially in mechanically ventilated patients [5]. These methods require the use of bacterial quantitative cultures and for each method a specific bacterial threshold is accepted for the confirmation of a pulmonary infection [6]. However, despite the enormous amount of literature regarding this topic, there is still an open debate about the requirement of invasive fiberoptic bronchoscopic techniques [7–10].
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Bauer, T., Ferrer, R., Torres, A. (2001). Diagnostic Tools for Ventilator-Associated Pneumonia. In: van Saene, H.K.F., Sganga, G., Silvestri, L. (eds) Infection in the Critically Ill: an Ongoing Challenge. Topics in Anaesthesia and Critical Care. Springer, Milano. https://doi.org/10.1007/978-88-470-2242-3_2
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DOI: https://doi.org/10.1007/978-88-470-2242-3_2
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