VAP Diagnostic Stewardship
Ventilator-Associated Pneumonia (VAP) remains one of the more challenging infectious syndromes to diagnose. Many of the clinical findings we associate with VAP - fever, leukocytosis, changes in secretions, and radiographic abnormalities are nonspecific. At the same time, respiratory cultures from ventilated patients frequently identify organisms that may represent colonization rather than true infection. This makes VAP particularly well suited for diagnostic stewardship. Rather than focusing only on whether antibiotics should be started or stopped, diagnostic stewardship asks us to consider…
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