CLINICAL MANAGEMENT GUIDELINE

Ventilator associated pneumonia

ICD10: Pneumonia, unspecified organism [J18.9]

Treatment: Empiric antibiotics; Gram Neg. & Pseudomonal bact.

Diagnostic criteria suggesting VAP: – New or expanding infiltrate >2 days post-admission/invasive ventilatory support. – 2 or more clinical features (fever, WBC, Purulent sputum Worsening oxygenation).


Treatments

Level 1 / 2
pharmacological
Piperacillin / tazobactam
ROUTE
IV
DOSE
4.500 g
FREQUENCY
Q6hr
pharmacological
Ceftazidime
ROUTE
IV
DOSE
2.000 g
FREQUENCY
Q8hr
pharmacological
meropenem
ROUTE
IV
DOSE
1.000 g
FREQUENCY
Q8hr
pharmacological
Ciprofloxacin
ROUTE
IV
DOSE
400.000 mg
FREQUENCY
Q8hr

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