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Cited by 316

The DOI matches its Crossref record; 83 of the 83 references it cites were found in a registry or an index.

Ventilator-Associated Pneumonia in Neonatal and Pediatric Intensive Care Unit Patients

Open access
Foglia, Elizabeth, Meier, Mary Dawn, Elward, Alexis·2007·Clinical Microbiology Reviews

Abstract

SUMMARY: Ventilator-associated pneumonia (VAP) is the second most common hospital-acquired infection among pediatric intensive care unit (ICU) patients. Empiric therapy for VAP accounts for approximately 50% of antibiotic use in pediatric ICUs. VAP is associated with an excess of 3 days of mechanical ventilation among pediatric cardiothoracic surgery patients. The attributable mortality and excess length of ICU stay for patients with VAP have not been defined in matched case control studies. VAP is associated with an estimated $30,000 in attributable cost. Surveillance for VAP is complex and usually performed using clinical definitions established by the CDC. Invasive testing via bronchoalveolar lavage increases the sensitivity and specificity of the diagnosis. The pathogenesis in children is poorly understood, but several prospective cohort studies suggest that aspiration and immunodeficiency are risk factors. Educational interventions and efforts to improve adherence to hand hygiene for children have been associated with decreased VAP rates. Studies of antibiotic cycling in pediatric patients have not consistently shown this measure to prevent colonization with multidrug-resistant gram-negative rods. More consistent and precise approaches to the diagnosis of pediatric VAP are needed to better define the attributable morbidity and mortality, pathophysiology, and appropriate interventions to prevent this disease.

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Metadata

Authors
Foglia, E., Meier, M. D., & Elward, A.
Venue
Clinical Microbiology Reviews
Published
2007-07
Volume
20
Issue
3
Pages
409-425
ISSN
  • 0893-8512 (ISSN-L)
  • 1098-6618
OpenAlex
W2169357305
Cited by
316
References
83
FWCI
9.61
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Ventilator-Associated Pneumonia in Neonatal and Pediatric Intensive Care Unit Patients. https://app.cochat.ai/papers/10.1128/cmr.00041-06
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Foglia, E., Meier, M. D., & Elward, A. (2007). Ventilator-Associated Pneumonia in Neonatal and Pediatric Intensive Care Unit Patients. Clinical Microbiology Reviews. https://doi.org/10.1128/cmr.00041-06

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.