Diagnostika a léčba ventilátorové bronchopneumoniena koronární jednotce

Diagnostics and Treatment of Ventilator-associated Pneumonia at Coronary Unit

Ventilator-associated pneumonia represents a severe complication in patients who are receiving mechanical ventilation.The incidence is presumed to be 25 % of the total number of mechanically ventilated patients. The clinicalassessment is usually based on the presence of a new radiographic infiltrate, fever, blood leukocytosis, or leukopeniaand purulent tracheal secretions. According to the time after tracheal intubation when VAP occurs we can distinguishearly and late onset VAP, which differs in terms of infectious agent. The early and adequate antibiotic therapy togetherwith the basic preventive treatment represents the only possibility to avoid the complications. The article reviewsthe actual knowledge of this phenomenon, the adequate diagnostic attitudes and therapeutic possibilities.

Key words:
ventilator-associated pneumonia, mechanical ventilation, nosocomial infection.