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Korean J Med > Volume 86(5); 2014 > Article
The Korean Journal of Medicine 2014;86(5): 537-545.
인공호흡기 연관 폐렴의 예방과 치료
박승용, 이흥범
전북대학교 의과대학 내과학교실, 임상의학연구소
Prevention and Management of Ventilator-Associated Pneumonia
Seung Yong Park, Heung Bum Lee
Department of Internal Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea
Corresponding Author: Heung Bum Lee ,Tel: +82-63-250-1685, Fax: +82-63-250-1609, Email: mail: lhbmd@jbnu.ac.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Mechanical ventilation is currently an indispensable element within a hospital’s intensive care unit (ICU). Regrettably, mechanical ventilation is also strongly associated with the risk of contracting ventilator-associated pneumonia (VAP), which is one of the most common causes of mortality and morbidity within the ICU, and has been for many years. The incidence of VAP has decreased in the last 10 years, from 14 to 9-10 cases per 1,000 days of mechanical ventilation. This has been an important achievement; however, hospital-acquired pneumonia and VAP still carry very high rates of morbidity and mortality, not to mention high financial costs as well. This comprehensive review explores our current understanding of the etiology and pathogenesis of VAP and proposes a strategy for its treatment and prevention. (Korean J Med 2014;86:537-545)
Keywords: Ventilator-associated pneumonia; Prevention; Treatment
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