Multinational prospective cohort study of rates and risk factors for ventilator-associated pneumonia over 24 years in 42 countries of Asia, Africa, Eastern Europe, Latin America, and the Middle East: Findings of the International Nosocomial Infection Control Consortium (INICC).
Víctor Daniel RosenthalZhilin JinZiad A MemishCamilla RodriguesSheila Nainan MyatraMohit KharbandaSandra Liliana Valderrama-BeltranYatin MehtaMohammad Abdellatif DaboorSubhash Kumar TodiGuadalupe Aguirre-AvalosErtugrul GucluChin Seng GanLuisa Fernanda Jiménez AlvarezRajesh ChawlaSona HlinkovaRajalakshmi ArjunHala Mounir AghaMaria Adelia Zuniga ChavarriaNarangarav DavaadagvaMohammed Basri Mat-NorKatherine GomezDaisy Aguilar De MorosChian Wern TaiAlejandro Sassoe GonzalezLina Alejandra Aguilar MorenoKavita SandhuJarosław JancMary Cruz Aleman BocanegraDincer YildizdasYuliana Andrea Cano MedinaMaria Isabel Villegas MotaAbeer Aly OmarWieslawa DuszynskaSouad BelkebirAmani Ali El-KholySafaa Abdulaziz AlkhawajaFlorin George HorhatEduardo Alexandrino Servolo MedeirosLili TaoNellie TumuMay Gamar ElanbyaReshma DongolVesna MioljevićLul RakaLourdes DueñasNilton Yhuri CarreazoTarek DendaneAamer IkramSouha S KanjMichael M PetrovAsma BouziriNguyen Viet HungVladislav BelskiyNaheed ElahiMaría Marcela BoveraRuijie YinPublished in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2023)
Some identified VAP RFs are unlikely to change: sex, hospitalization type, ICU type, facility ownership, and country income level. Based on our results, we recommend focusing on strategies to reduce LOS, to reduce the MV utilization ratio, to limit CPAP use and implementing a set of evidence-based VAP prevention recommendations.