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Nosocomial Pneumonia: Therapy Is Just Not Good Enough

Torsten T. Bauer
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Affiliations: Bochum, Germany
 ,  Dr. Bauer is lecturer of Internal Medicine at the Ruhr-University of Bochum, and senior physician in the Department of Pneumology, Allergology, Sleep Medicine and Respiratory Support. Dr. Bauer is also chair of the group of “Respiratory Infections and Sepsis in the ICU” of the European Respiratory Society, and vice-chair of the group of “Respiratory Infections and Tuberculosis” of the German Respiratory Society.

Correspondence to: Torsten T. Bauer, MD, Medical Clinic III, Bergmannsheil-Clinic of the Ruhr-University, Buerkle-de-la-Camp Platz 1, D-44789 Bochum, Germany; e-mail: torsten.bauer@RUHR-UNI-Bochum.DE



Chest. 2003;124(5):1632-1634. doi:10.1378/chest.124.5.1632
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Treatment of nosocomial pneumonia remains a problem in the ICU in terms of morbidity, mortality—at least if pneumonia occurs after the fifth day of hospital admission—and costs.1 Rello and colleagues2 recently presented data on this issue, and calculated each episode of nosocomial pneumonia to cost the institution > $40,000 in mean hospital charges per patient. The authors concluded that strategies to prevent the occurrence of ventilator-associated pneumonia may not reduce mortality; they may yield other important benefits to patients, their families, and hospital systems. This may be—surely not intended by the authors—understood in a way that prevention of nosocomial pneumonia does not lead to a decrease in ICU mortality, whereas the authors most likely meant to emphasize that either their data do not support this assumption or the studies available today are unable to do so.2

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