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Utility of risk assessment and identification of risk factors for drug-resistant pathogens in hospital-acquired and ventilator-associated pneumonia: systematic reviews and meta-analyses - PubMed

6 hours ago
  • #drug-resistant pathogens
  • #HAP/VAP
  • #risk factors
  • The study conducted two systematic reviews and meta-analyses to assess the utility of risk assessment for drug-resistant pathogens in hospital-acquired and ventilator-associated pneumonia (HAP/VAP).
  • In the first review, high-risk HAP/VAP patients had significantly higher rates of drug-resistant pathogen detection and all-cause mortality compared to low-risk patients.
  • The second review identified five key risk factors for drug-resistant pathogens in HAP/VAP: onset in the ICU, sepsis/septic shock, previous antibiotics treatment, bedridden state/poor functional status, and chronic kidney disease.
  • These findings support using risk assessment for guiding initial antibiotic selection in HAP/VAP management.
  • The study protocol was registered with a clinical trials registry, and no major competing interests were reported among most authors.