Table 5.
Risk factors for VAP
Host Factors | Intervention Factors |
---|---|
Oropharyngeal colonization | Emergency intubation |
Gastric colonization | Reintubation |
Thermal injury (burns) | Tracheostomy |
Posttraumatic | Bronchoscopy |
Postsurgical | Nasogastric tube |
Impaired consciousness | Duration of hospital stay/ICU stay |
Immunosuppression | Multiple central venous line insertions |
Organ failure | Sedatives |
Sinusitis | Stress ulcer prophylaxis |
Severity of underlying illness | Prior antibiotics/no antibiotic prophylaxis |
Old age (≥60 y) | Immunosuppressives (corticosteroids) |
Presence of comorbidities | Supine head position |
From Joseph NM, Sistla S, Dutta TK, et al. Ventilator-associated pneumonia: a review. Eur J Intern Med 2010;21:360–8; with permission.