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April 2024

RCEM Learning

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Antibiotics in Acute Brain Injury: Impact on Ventilator-Associated Pneumonia

Detailed analysis of a medical paper on administering antibiotics to brain injury patients to prevent pneumonia and improve outcomes. The study, known as the 'proofy VAP trial', compared a single dose of keftriaxone to a placebo, showing a significant reduction in ventilator-associated pneumonia incidence and lower mortality in the antibiotic group. The chapter explores the implications of this study on antibiotic use in intensive care settings and discusses the decision-making process for administering antibiotics to brain-injured patients.

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