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Editorials |

VAT vs VAP: Are We Heading Toward Clarity or Confusion?

John Dallas, MD; Marin Kollef, MD, FCCP
Author and Funding Information

Correspondence to: Marin H. Kollef, MD, FCCP, Campus Box 8052, Washington University School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110; e-mail: mkollef@im.wustl.edu

Dr. Dallas is affiliated with the Barnes-Jewish Hospital and the Division of Pulmonary and Critical Care Medicine, Washington University.

Dr. Kollef is affiliated with the Division of Pulmonary & Critical Care Medicine, Washington University School of Medicine.


Dr. Dallas has no conflicts of interest to disclose. Dr. Kollef has reported receiving university grant monies from the Barnes-Jewish Foundation, and participating in speaking activities for Pfizer, Merck, and Bard.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(2):252-255. doi:10.1378/chest.08-2247
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The Centers for Medicare and Medicaid Services have recently stopped reimbursing hospitals for several preventable complications including nosocomial infections such as vascular catheter-related bloodstream infections and catheter-associated urinary tract infections. The proposal that reimbursement for ventilator-associated pneumonia (VAP) would be one of the next “preventable complications” added to the list for nonreimbursement was met with disapproval by many intensivists and hospital administrators as there is often some degree of uncertainty in making the diagnosis and because VAP is likely not entirely preventable. However, this disagreement has refocused interest in strategies for preventing VAP and decreasing associated morbidity, mortality, and health-care costs.

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