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Abstract Patients in the intensive care unit are at risk for dying not only from their critical illness but also from secondary processes such as nosocomial infection. Pneumonia is the second most common nosocomial infection in critically ill patients. Ventilator associated pneumonia is a major cause of hospital morbidity and mortality despite recent advances in diagnosis and accuracy of management Ventilator associated pneumonia is defined as pneumonia occurring more than 48 hours after patients have been intubated and received mechanical ventilation. Diagnosing VAP requires a high clinical suspicion combined with bedside examination, radiographic examination, and microbiologic analysis of respiratory secretions. Ventilator associated pneumonia was defined as the presence. |