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SHEAVAP09233c
Disclaimer
is resource is for informational purposes only, intended as a quick-reference tool based on the cited
source guideline(s), and should not be used as a substitute for the independent professional judgment
of healthcare providers. Practice guidelines are unable to account for every individual variation
among patients or take the place of clinician judgment, and the ultimate decision concerning the
propriety of any course of conduct must be made by healthcare providers aer consideration of each
individual patient situation. Guideline Central does not endorse any specific guideline(s) or guideline
recommendations and has not independently verified the accuracy hereof. Any use of this resource or any
other Guideline Central resources is strictly voluntary.
Abbreviations
CPAP, continuous positive airway pressure; HAP, hospital acquired pneumonia; ICU,
intensive care unit; NIPPV, non-invasive positive pressure ventilation; NV-HAP, non-
ventilator hospital acquired pneumonia; VAE, ventilator-associated events; VAP, ventilator-
associated pneumonia
Source
Klompas M, Branson R, Cawcutt K, et al. Strategies to prevent ventilator-associated
pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia
in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(6):687–713.
doi:10.1017/ice.2022.88.
Recommendation Grading
Category Definition
H = High Highly confident that the true effect lies close to that of the
estimated size and direction of the effect. Evidence is rated as
"High" quality when there are a wide range of studies with no
major limitations, there is little variation between studies, and the
summary estimate has a narrow confidence interval.
M = Moderate
e true effect is likely to be close to the estimated size and direction
of the effect, but there is a possibility that it is substantially different.
Evidence is rated as "Moderate" quality when there are only a few
studies and some have limitations but not major flaws, there is some
variation between studies, or the confidence interval of the summary
estimate is wide.
L = Low e true effect may be substantially different from the estimated size
and direction of the effect. Evidence is rated as "Low" quality when
supporting studies have major flaws, there is important variation
between studies, the confidence interval of the summary estimate is
very wide, or there are no rigorous studies.
NA = Not applicable Not applicable.
