Ventilator-Associated Tracheitis in Children: Does Antibiotic Duration Matter?
Author(s) -
Pranita D. Tamma,
Anne Turnbull,
Aaron M. Milstone,
Christoph U. Lehmann,
Emily Sydnor,
Sara E. Cosgrove
Publication year - 2011
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir203
Subject(s) - medicine , antibiotics , pneumonia , ventilator associated pneumonia , intensive care unit , hazard ratio , retrospective cohort study , confidence interval , microbiology and biotechnology , biology
The optimal duration of antibiotic therapy for ventilator-associated tracheitis (VAT) has not been defined, which may result in unnecessarily prolonged courses of antibiotics. The primary objective of this study was to determine whether prolonged-course (≥7 days in duration) therapy for VAT was more protective against progression to hospital-acquired pneumonia (HAP) or ventilator-associated pneumonia (VAP), compared with short-course antibiotics (<7 days in duration). The secondary objective was to determine whether prolonged-course therapy was more likely to result in the acquisition of multidrug-resistant organisms (MDROs) compared with short-course therapy.
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