Letters Pneumonia from ventilation

Oral decontamination treats the symptom, not the cause

BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39205.480671.BE (Published 10 May 2007) Cite this as: BMJ 2007;334:967
  1. Duncan L Wyncoll, consultant intensivist1,
  2. Peter J Young, consultant intensivist2
  1. 1St Thomas' Hospital, London SE1 7EH
  2. 2Queen Elizabeth Hospital, King's Lynn PE30 4ET
  1. duncan.wyncoll{at}gstt.nhs.uk

    Oral antiseptics, like semirecumbent positioning and care of the ventilator circuit, merely address the symptom and not the cause of ventilator associated pneumonia (VAP).1

    The pivotal step in the pathogenesis of most cases is aspiration of secretions …

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