Nonventilator-Associated Pneumonia in the Intensive Care Unit

Patients with this illness had a lower rate of etiologic diagnosis than those with ventilator-associated pneumonia and were more likely to have Streptococcus pneumoniae isolated.

Hospital-acquired pneumonia is a common and serious complication in intensive care units (ICUs). Although most research on this topic has focused on ventilated patients, the illness can also develop in patients who are not ventilated. To see how nonventilator ICU-acquired pneumonia (NV-ICUAP) compares with ventilator-associated pneumonia (VAP), researchers conducted a 3-year study among consecutive adults who developed pneumonia in the ICUs of a large medical center in Spain.

During the study period, NV-ICUAP was diagnosed in 151 patients and VAP in 164. Those with NV-ICUAP were less severely ill on ICU admission, based on APACHE score, and had a shorter mean hospital stay before ICU admission (for each, P<0.001). The causative pathogen was …

Reviewing Author

Neil M. Ampel, MD

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Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesCoccidioidomycosis Study Group (Past President, Secretary, Treasurer)

Neil M. Ampel, MD

Disclosures

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesCoccidioidomycosis Study Group (Past President, Secretary, Treasurer)

Nonventilator-Associated Pneumonia in the Intensive Care Unit

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Reviewing Author