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Health Point Press

Pneumonia in the ICU: Managing Oral Pathogens for Prevention and Treatment

Pneumonia in the ICU: Managing Oral Pathogens for Prevention and Treatment

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Ventilator-associated pneumonia (VAP) is the most common infectious complication among patients in the intensive care unit (ICU). Additionally, VAP is the most commonly reported health care-acquired infection in patients receiving mechanical ventilation. Critically ill patients who develop VAP are twice as likely to die compared to those who do not develop it. In addition, VAP can considerably increase healthcare costs, adding $40,000 to a hospital admission.

For the last decade it has become increasingly clear that oral care addresses the risk factors for VAP—bacterial colonization of the oropharyngeal area, aspiration of subglottal secretions, and colonization of dental plaque with respiratory pathogens. Dr. John Thomas’s new book, Pneumonia in the ICU: Managing Oral Pathogens for Prevention and Treatment, describes the growing evidence of the importance of oral cavity microbes in the development of VAP. The book then explains how these microbes can travel down to the lungs via the endotrach. Finally, the book outlines the development of a comprehensive oral care system shown in independent, peer-reviewed studies to significantly reduce the incidence of VAP.
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