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Table 1 Guidelines and recommendations for the management of hospital-acquired pneumonia, ventilator-associated pneumonia and healthcare-associated pneumonia

From: Prevention of hospital-acquired pneumonia in non-ventilated adult patients: a narrative review

Author/Society

Country/Region

Year

HAP prevention measures

VAP prevention measures

Hand hygiene

Microbiologic monitoring

Invasive device removal

Avoid endotracheal intubation

Reduction in the prescription of AB

Centres for Disease Control and Prevention [17]

USA

2003

NA

Available

R

R

DR

R

DR

Infectious Diseases Society of America [3]

USA

2005

NA

Available

R

R

DR

R

DR

Latin American Thoracic Society [18]

Latin America

2005

NA

Available

R

R

DR

R

DR

Federation of the Infectious Diseases Societies of South Africa [19]

South Africa

2005

NA

Available

R

R

DR

DR

R

Association for Professionals in Infection Control and Epidemiology [20]

USA

2005

NA

Available

R

R

R

R

R

The South African Thoracic Society [21]

South Africa

2006

NA

Available

R

R

R

R

R

Brazilian Society of Pneumology and Tisiology [22]

Brazil

2007

NA

Available

R

R

R

R

R

Portuguese Societies of Pneumology and Intensive Care [23]

Portugal

2007

NA

Available

R

R

R

R

R

The British Society for Antimicrobial Therapy [24]

England

2008

NA

Available

R

R

DR

R

DR

Association of Medical Microbiology and Infectious Diseases [25]

Canada

2008

NA

Available

R

R

R

R

R

European Society of Clinical Microbiology and Infectious Diseases [8]

Europe

2009

NA

Available

R

R

R

R

R

The French Society of Hospital Hygiene [26]

France

2010

NA

Available

R

DR

DR

R

DR

The Spanish Society of Pulmonology and Thoracic Surgery [27]

Spain

2011

NA

Available

R

R

R

R

R

Singapore Infection Control Association and Singapore Society of Intensive Care Medicine [28]

Singapore

2013

NA

Available

R

R

DR

DR

DR

Author/Society

Avoid reintubation

Promote NIV if possible

Orogastric tubes

Cuff pressure (mmHg)

Bed elevation

Subglotic aspiration

Silver or AB endotracheal tube coating

Oral decontamination

SDD

Centres for Disease Control and Prevention [17]

R

R

R

DR

R

NR

DR

NR

NR

Infectious Diseases Society of America [3]

R

R

R

20

R

R

DR

NR

NR

Latin American Thoracic Society [18]

R

R

R

DR

R

R

DR

R

NR

Federation of the Infectious Diseases Societies of South Africa [19]

DR

DR

R

DR

R

NR

DR

R

NR

Association for Professionals in Infection Control and Epidemiology [20]

DR

R

DR

DR

R

R

DR

R

NR

The South African Thoracic Society [21]

DR

DR

R

DR

R

DR

DR

DR

DR

Brazilian Society of Pneumology and Tisiology [22]

NR

R

DR

20

R

R

DR

R

NR

Portuguese Societies of Pneumology and Intensive Care [23]

R

R

R

DR

R

DR

DR

R

DR

The British Society for Antimicrobial Therapy [24]

R

R

DR

25

R

R

DR

DR

R

Association of Medical Microbiology and Infectious Diseases [25]

R

R

R

20

R

R

DR

R

NR

European Society of Clinical Microbiology and Infectious Diseases [8]

R

R

R

20

R

R

DR

R

NR

The French Society of Hospital Hygiene [26]

DR

R

R

25-30

R

NR

DR

R

NR

The Spanish Society of Pulmonology and Thoracic Surgery [27]

DR

R

DR

DR

R

R

R

R

NR

Singapore Infection Control Association and Singapore Society of Intensive Care Medicine [28]

DR

DR

R

DR

R

R

DR

R

DR

  1. AB antibiotic, DR don’t refer, HAP hospital-acquired pneumonia, NA not available, R recommended, VAP ventilator-associated pneumonia, NIV non-invasive ventilation, NR not recommended, SDD selective digestive decontamination