Description: Critically ill patients in the intensive care unit (ICU) are at high risk for infections associated with increased morbidity, mortality and healthcare costs. The overall infection rate in critically ill patients approaches 40 percent and may be as high as 50 percent or 60 percent in patients who remain in the ICU for more than five days. Respiratory tract infections account for 30 percent to 60 percent of all such infections. The incidence of pneumonia acquired in the ICU ranges from 10 percent to 65 percent.

Among patients at high risk for ventilator-associated pneumonia (VAP) are those who have chronic obstructive pulmonary disease, burns, neurosurgical conditions, the acute respiratory distress syndrome, and witnessed aspiration; those who are reintubated; and those who receive paralytic agents or enteral nutrition.

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Speakers:

Wava Truscott, PhD, MBA, BS, is director of scientific affairs and clinical education in the Professional Health Care division at Kimberly Clark Corporation. She is a former executive in scientific and regulatory affairs for a number of leading healthcare corporations. She earned her doctorate degree in microbiology, immunology, and pathology from the University of California at Davis, her master's in business administration from the University of LaVerne, and her bachelor of science degree from Brigham Young University. She is the author of numerous book chapters, is a contributor to a series of clinical education videos, and is the author and co-author of dozens of professional articles and white papers. Dr. Truscott also is a frequent lecturer and presenter at industry conferences.

Sean Townsend, MD, is a pulmonary and critical care fellow at Massachusetts General Hospital. He graduated from the University of Chicago Pritzker School of Medicine and completed residency in internal medicine at Beth Israel Deaconess Medical Center in Boston. He presently devotes his research efforts to healthcare improvement at the Institute for Healthcare Improvement, with a particular interest in critical care.

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