Evidence map›Paper›PMID 32600375›Full record

ReviewCritical care (London, England)2020

Update of the treatment of nosocomial pneumonia in the ICU.

Rafael Zaragoza, Pablo Vidal-Cortés, Gerardo Aguilar, Marcio Borges, Emili Diaz, Ricard Ferrer, Emilio Maseda, Mercedes Nieto, Francisco Xavier Nuvials, Paula Ramirez and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 3 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 3 syntheses or guidelines pooled it, 241 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Systematic review of ceftaroline fosamil in the management of patients with methicillin-resistantEuropean respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Challenges and opportunities in the management of severe pneumonia. Key concepts from the Seventh Annual Meeting of Spanish Experts 2025.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  14. Oral findings in intensive care unit patients.Medicina oral, patologia oral y cirugia bucal · 2026
    Article
  15. Surveillance of temporal trends and antimicrobial resistance in nosocomial respiratory pathogens, Switzerland, 2007 to 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Review

47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 2 countries.

Rafael ZaragozaCritical Care Department, Hospital Universitario Dr. Peset, Valencia, Spain. zaragoza_raf@gva.es.ORCID 0000-0002-6593-5486
Pablo Vidal-CortésICU, Hospital Universitario Ourense, Ourense, Spain.
Gerardo AguilarSICU, Hospital Clínico Universitario Valencia, Valencia, Spain.
Marcio BorgesFundación Micellium, Valencia, Spain.
Emili DiazDepartment of Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
Ricard FerrerICU, Hospital Vall d'Hebrón, Barcelona, Spain.
Emilio MasedaFundación Micellium, Valencia, Spain.
Mercedes NietoICU, Hospital Clínico Universitario San Carlos, Madrid, Spain.
Francisco Xavier NuvialsICU, Hospital Vall d'Hebrón, Barcelona, Spain.
Paula RamirezICU, Hospital Universitari I Politecnic La Fe, Valencia, Spain.
Alejandro RodriguezICU, Hospital Universitari Joan XXIII, Tarragona, Spain.
Cruz SorianoICU, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Javier VeganzonesSICU, Hospital Universitario La Paz, Madrid, Spain.
Ignacio Martín-LoechesICU, Trinity Centre for Health Science HRB-Wellcome Trust, St James's Hospital, Dublin, Ireland.
Hospital Universitario La Paz · ESVall d'Hebron Hospital Universitari · ESComplejo Hospitalario de Ourense · ESFundación Valenciaport · ESHospital Clínico San Carlos · ESHospital Clínico Universitario de Valencia · ESHospital Son Llatzer · ESHospital Universitari i Politècnic La Fe · ESHospital Universitari Joan XXIII de Tarragona · ESHospital Universitario Ramón y Cajal · ESSt. James's Hospital · IEUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In accordance with the recommendations of, amongst others, the Surviving Sepsis Campaign and the recently published European treatment guidelines for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), in the event of a patient with such infections, empirical antibiotic treatment must be appropriate and administered as early as possible. The aim of this manuscript is to update treatment protocols by reviewing recently published studies on the treatment of nosocomial pneumonia in the critically ill patients that require invasive respiratory support and patients with HAP from hospital wards that require invasive mechanical ventilation. An interdisciplinary group of experts, comprising specialists in anaesthesia and resuscitation and in intensive care medicine, updated the epidemiology and antimicrobial resistance and established clinical management priorities based on patients' risk factors. Implementation of rapid diagnostic microbiological techniques available and the new antibiotics recently added to the therapeutic arsenal has been reviewed and updated. After analysis of the categories outlined, some recommendations were suggested, and an algorithm to update empirical and targeted treatment in critically ill patients has also been designed. These aspects are key to improve VAP outcomes because of the severity of patients and possible acquisition of multidrug-resistant organisms (MDROs).

Indexed as

Anti-Bacterial AgentsCritical IllnessGuidelines as TopicHealthcare-Associated PneumoniaHumansIntensive Care UnitsPneumonia, Ventilator-AssociatedRisk FactorsAnti-Bacterial AgentsCeftazidime-avibactamCeftolozane-tazobactamHAPKPCNosocomial pneumoniaPCRPseudomonas aeruginosaVAP

Identifiers

PMID32600375
PMCPMC7322703
OpenAlexW3037091520

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.