N. Troillet et P. Francioli, PNEUMONIA IN PATIENTS UNDER MECHANICAL VE NTILATION - PATHOPHYSIOLOGYAND PREVENTION, Schweizerische medizinische Wochenschrift, 124(6), 1994, pp. 236-240
Nosocomial pneumonias are due to various causes and their development
depends mainly on the underlying condition of the patients. Intubated
patients are prone to develop bacterial pneumonia, with microorganisms
found in the oro-pharyngeal or gastric flora. Prevention relies on di
minishing the exogenous and endogenous colonization of the tracheobron
chial tree through: avoidance of cross contamination, maintenance of a
physiological gastric pH and, possibly, selective digestive decontami
nation.