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Editorials |

Nature (and the ICU) Abhors a VACuumVacuum

Andrew F. Shorr, MD, MPH, FCCP; Marya D. Zilberberg, MD, MPH, FCCP
Author and Funding Information

From the Pulmonary and Critical Care Section (Dr Shorr), Washington Hospital Center; EviMed Research (Dr Zilberberg); and the School of Public Health and Health Sciences (Dr Zilberberg), University of Massachusetts, Amherst, MA.

Correspondence to: Andrew F. Shorr, MD, MPH, FCCP, Pulmonary and Critical Care Medicine, Washington Hospital Center, Room 2A-68, 110 Irving St, NW; e-mail: Andrew.shorr@gmail.com


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Shorr has served as a consultant to, speaker for, or received grant support from Astellas Pharma US, Inc; Bayer AG; Cubist Pharmaceuticals, Inc; Forest Laboratories; Pfizer, Inc; Theravance, Inc; and Trius Therapeutics, Inc. Dr Zilberberg has served as a consultant to, speaker for, or received grant support from Cubist Pharmaceuticals, Inc; Pfizer, Inc; and Optimer Pharmaceuticals, Inc. However, neither author has any specific conflict relative to the content of this editorial.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(6):1365-1366. doi:10.1378/chest.12-1380
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Extract

Hospital-acquired infections (HAIs) remain an important cause of morbidity. Efforts to reduce HAIs are at the forefront of initiatives to improve outcomes in the ICU, and public reporting of select HAIs is intended to further this effort. Ventilator-associated pneumonia (VAP) represents the most common HAI, and, allegedly, rates of VAP have fallen in the United States.1 Multiple preventive options exist to reduce the incidence of VAP. Often simple interventions focused on addressing liberation from mechanical ventilation, sedation, and oral and upper airway care can prove effective.2 Some hospitals now claim to have eliminated VAP.

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