Summary of the international clinical guidelines for the management of hospital-acquired and ventilator-acquired pneumonia
ERJ open res; 4 (2), 2008
Publication year: 2008
Nosocomial pneumonia is a frequent infection that is classified into two groups [1]: HAP, which develops
in hospitalised patients after 48 h of admission, and does not require (but may include) artificial
ventilation at the time of diagnosis [2, 3]; and VAP, which occurs in intensive care unit (ICU) patients
who have received mechanical ventilation for at least 48 h [2, 3].
HAP is the second most common hospital infection and has the highest crude mortality, while VAP is the
most frequent cause of nosocomial infection in the ICU [2, 3]. Both types of pneumonia lengthen hospital
stay and consume considerable health resources [2, 3].
Recently, the ERS, ESICM, ESCMID and ALAT published clinical guidelines on the therapeutic and
management strategies for adult patients with HAP and VAP, designed to guide clinical decisions made
not only by pulmonologists and intensivists but by all health professionals who treat these patients [2].
These clinical guidelines are evidence-based (Grading of Recommendations Assessment, Development and
Evaluation) and follow the PICO ( population-intervention-comparison-outcome) model.
Each section in this article refers to a specific PICO question addressed in the guidelines.