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Editorials |

Ventilator-Associated Tracheobronchitis: Public-Reporting Scam or Important Clinical Infection?

Richard G. Wunderink, MD, FCCP
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine, Feinberg School of Medicine, Northwestern University.

Correspondence to: Richard G. Wunderink MD, FCCP, Division of Pulmonary and Critical Care Medicine, Feinberg School of Medicine, Northwestern University, 676 N St. Clair St, Ste 14-044, Chicago, IL 60611; e-mail: r-wunderink@northwestern.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be dis­cussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;139(3):485-488. doi:10.1378/chest.10-2641
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Extract

The latest contentious diagnostic issue regarding lower respiratory tract infections in patients who are critically ill is ventilator-associated tracheobronchitis (VAT). What has brought this entity to the fore is public reporting of hospital-acquired infections and the potential that ventilator-associated pneumo­nia (VAP) rates will be added to the list of infections reported as a quality standard to measure hospital safety. The Institute for Healthcare Improvement (IHI) has championed the use of a VAP bundle for critical care quality improvement and patient safety initiatives. Reports from multiple hospitals on the IHI Web site (http://www.ihi.org/IHI/Programs/Campaign/VAP.htm) suggest that zero VAP rates for prolonged periods can be achieved by greater attention to prevention strategies.

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