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Diagnosis dan Penatalaksanaan Ventilator-Associated Penumonia
Ventilator-associated pneumonia (V AP) continues to complicate the management of patients receiving mechanical ventilation (MV). The VAP is associated with excess morbidity, increasing intensive care unit (ICU)/hospital stay and patient costs. The etiologic agents widely differ depend on the !..opulation of patients, duration of hospital stay and prior antimicrobial therapy. Rapid identification of the infected patients and accurate selection of the antimicrobial agents represent important clinical goals. Selection of the initial antimicrobial therapy should be based on the predominant flora responsible for V AP at each institution and clinicp! setting. Furthemore, the information provided by direct examination of pulmonary secretions. Finally, it should also be based on the antimicrobial agents' activities and their pharmacokinetic characteristics.
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