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To determine whether the pathogenesis of lower airway colonization and infection was endogenous (via the oropharynx) or exogenous (via the endotracheal tube or tracheotomy) during the 2 modes of ventilation in the same subset of children requiring long-term ventilation.

Differing Pathways of Lower Airway Colonization and Infection According to Mode of Ventilation (Endotracheal vs Tracheotomy)