PPT Slide

PSB & BAL

% infected BAL cells < 5 %

No Antimicrobial

therapy

PSB < 103 cfu/ml

No Antimicrobial

therapy

PSB ? 103 cfu/ml

ATBs adapted on

bacterial

susceptibility

% infected BAL cells ? 5 %

Immediate Empiric

Antimicrobial Therapy

PSB < 103 cfu/ml

PSB ? 103 cfu/ml

Same ATBs

continued

ATBs adapted on

bacterial

susceptibility

Chastre & Fagon

AJRCCM 1994

Clinical suspicion for VAP is the starting point of diagnostic evaluation

a patient with a clinical suspicion of pneumonia but negative microbiological results (PCB/BAL) does not receive antibiotics

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