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Control measures for pneumonia (Table 125-2) are aimed at the remediation of risk factors in general patient care (e.g., minimizing aspirationprone supine positioning) and at meticulous aseptic care of respirator equipment (e.g., disinfecting or sterilizing all inline reusable components such as nebulizers, replacing tubing circuits at intervals of 48 h—rather than more frequently—to lessen the number of breaks in the system, and teaching aseptic technique for suctioning). The benefits of selective decontamination of the oropharynx and gut with nonabsorbable antimicrobial agents and/or use of short-course postintubation systemic antibiotics have been controversial. Among the logical preventive measures that require further...
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Chapter 125. Health Care– Associated Infections (Part 5)
