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Editorials |

The Seven Deadly Sins of Ventilator-Associated Pneumonia

Lee E. Morrow, MD, MSc, FCCP; Andrew F. Shorr, MD, MPH, FCCP
Author and Funding Information

Affiliations: Omaha, NE,  Washington, DC

Correspondence to: Andrew F. Shorr, MD, MPH, FCCP, Room 2A-38D, Washington Hospital Center, 110 Irving St NW, Washington, DC 20010; e-mail: afshorr@dnamail.com



Chest. 2008;134(2):225-226. doi:10.1378/chest.08-0860
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Despite unquestionable progress in the prevention, diagnosis, and treatment of ventilator-associated pneumonia (VAP) in recent years, this nosocomial infection continues to be a major challenge for intensivists. Because VAP remains both common and serious, with crude mortality rates of 20 to 70%, it has received a substantial attention in quality-improvement initiatives and from clinical researchers.1 As VAP is also at least partially preventable, some have proposed it serve as a surrogate measure of quality of care, although its utility as a measure of quality is the focus of active debate. In an era of increasing antimicrobial resistance and with mounting calls for public disclosure of hospital-specific nosocomial infection rates, the Centers for Medicare and Medicaid Services (CMS) has recently threatened to halt reimbursement for VAP.2

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