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Volume 356:1469-1471 April 5, 2007 Number 14
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Diagnosis of Ventilator-Associated Pneumonia

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 by The Canadian Critical Care Trials Group
To the Editor: Heyland and colleagues, on behalf of the Canadian Critical Care Trials Group (Dec. 21 issue),1 report on the comparison between bronchoalveolar lavage and endotracheal aspiration for the diagnosis of ventilator-associated pneumonia. The two techniques were associated with similar clinical outcomes and similar overall antibiotic use. However, 105 (28.8%) of the 365 patients in the bronchoalveolar-lavage group had received new antibiotics within 3 days before randomization, probably after the onset of the first symptoms related to ventilator-associated pneumonia. Since these patients were different from the rest of the patients,2,3 we wonder how decisions concerning their antimicrobial treatment were . . . [Full Text of this Article]




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