Ventilator-associated pneumonia pathogenesis

Estes RJ, Meduri GU. The pathogenesis of ventilator-associated pneumonia I. Mechanisms of bacterial transcolonization and airway inoculation. Intensive Care Med 1995 21 365-383. 

Torres A, Serra-Battles J, Ros E, Piera C, Puig de la Bellacasa J, Cobos A, et al. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation the effect of body position. Ann Intern Med 1992 116 540-542. Bonten MJM, Gaillard CA, de Leeuw PW, Stobberingh EE. The role of colonization of the upper intestinal tract in the pathogenesis of ventilator-associated pneumonia. Clin Infect Dis 1997 24 309-319. 

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