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Ventilator-Associated Tracheobronchitis and Ventilator-Associated PneumoniaVAP and VAT: Truth vs Myth: Truth vs Myth

Marin H. Kollef, MD
Author and Funding Information

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

Correspondence to: Marin H. Kollef, MD, Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, 660 S Euclid Ave, Campus Box 8052, St. Louis, MO 63110; e-mail: mkollef@dom.wustl.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. See online for more details.


Chest. 2013;144(1):3-5. doi:10.1378/chest.12-3015
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In this issue of CHEST (see page 32), Simpson et al1 evaluate the occurrence of ventilator-associated tracheobronchitis (VAT) and ventilator-associated pneumonia (VAP) over a 2-year period in a pediatric ICU. Using US Centers of Disease Control and Prevention/National Healthcare Safety Network (CDC/NHSN) definitions of nosocomial infections, certified infection control practitioners documented the criteria establishing the presence of VAT/VAP.2 Of the 645 ventilated patients who were assessed, 22 (3.4%) met criteria for VAT. Patients with VAT had longer lengths of stay but no increase in mortality. Interestingly, no cases of VAP were identified using this administrative approach to nosocomial infection surveillance.

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