id sid tid token lemma pos cord-011327-zsoc4wec 1 1 key key JJ cord-011327-zsoc4wec 2 1 : : : cord-011327-zsoc4wec 2 2 cord-011327-zsoc4wec cord-011327-zsoc4wec NN cord-011327-zsoc4wec 2 3 authors author NNS cord-011327-zsoc4wec 2 4 : : : cord-011327-zsoc4wec 2 5 Martin Martin NNP cord-011327-zsoc4wec 2 6 - - HYPH cord-011327-zsoc4wec 2 7 Loeches Loeches NNP cord-011327-zsoc4wec 2 8 , , , cord-011327-zsoc4wec 2 9 Ignacio Ignacio NNP cord-011327-zsoc4wec 2 10 ; ; : cord-011327-zsoc4wec 2 11 Leone Leone NNP cord-011327-zsoc4wec 2 12 , , , cord-011327-zsoc4wec 2 13 Marc Marc NNP cord-011327-zsoc4wec 2 14 ; ; : cord-011327-zsoc4wec 2 15 Einav Einav NNP cord-011327-zsoc4wec 2 16 , , , cord-011327-zsoc4wec 3 1 Sharon Sharon NNP cord-011327-zsoc4wec 3 2 title title NN cord-011327-zsoc4wec 3 3 : : : cord-011327-zsoc4wec 3 4 Antibiotic antibiotic JJ cord-011327-zsoc4wec 3 5 prophylaxis prophylaxis NN cord-011327-zsoc4wec 3 6 in in IN cord-011327-zsoc4wec 3 7 the the DT cord-011327-zsoc4wec 3 8 ICU ICU NNP cord-011327-zsoc4wec 3 9 : : : cord-011327-zsoc4wec 3 10 to to TO cord-011327-zsoc4wec 3 11 be be VB cord-011327-zsoc4wec 3 12 or or CC cord-011327-zsoc4wec 3 13 not not RB cord-011327-zsoc4wec 3 14 to to TO cord-011327-zsoc4wec 3 15 be be VB cord-011327-zsoc4wec 3 16 administered administer VBN cord-011327-zsoc4wec 3 17 for for IN cord-011327-zsoc4wec 3 18 patients patient NNS cord-011327-zsoc4wec 3 19 undergoing undergo VBG cord-011327-zsoc4wec 3 20 procedures procedure NNS cord-011327-zsoc4wec 3 21 ? ? . cord-011327-zsoc4wec 4 1 date date NN cord-011327-zsoc4wec 4 2 : : : cord-011327-zsoc4wec 4 3 2019 2019 CD cord-011327-zsoc4wec 4 4 - - HYPH cord-011327-zsoc4wec 4 5 11 11 CD cord-011327-zsoc4wec 4 6 - - SYM cord-011327-zsoc4wec 4 7 28 28 CD cord-011327-zsoc4wec 4 8 journal journal NN cord-011327-zsoc4wec 4 9 : : : cord-011327-zsoc4wec 5 1 Intensive intensive JJ cord-011327-zsoc4wec 5 2 Care care NN cord-011327-zsoc4wec 5 3 Med Med NNP cord-011327-zsoc4wec 5 4 DOI doi NN cord-011327-zsoc4wec 5 5 : : : cord-011327-zsoc4wec 5 6 10.1007 10.1007 CD cord-011327-zsoc4wec 5 7 / / SYM cord-011327-zsoc4wec 5 8 s00134 s00134 VBN cord-011327-zsoc4wec 5 9 - - HYPH cord-011327-zsoc4wec 5 10 019 019 CD cord-011327-zsoc4wec 5 11 - - HYPH cord-011327-zsoc4wec 5 12 05870 05870 CD cord-011327-zsoc4wec 5 13 - - SYM cord-011327-zsoc4wec 5 14 0 0 CD cord-011327-zsoc4wec 5 15 sha sha NN cord-011327-zsoc4wec 5 16 : : : cord-011327-zsoc4wec 5 17 e871f1a62b481f78324c8a77715ee30b196d4d13 e871f1a62b481f78324c8a77715ee30b196d4d13 NNP cord-011327-zsoc4wec 5 18 doc_id doc_id NNP cord-011327-zsoc4wec 5 19 : : : cord-011327-zsoc4wec 5 20 11327 11327 CD cord-011327-zsoc4wec 5 21 cord_uid cord_uid NNS cord-011327-zsoc4wec 5 22 : : : cord-011327-zsoc4wec 5 23 zsoc4wec zsoc4wec ADD cord-011327-zsoc4wec 6 1 nan nan NNP cord-011327-zsoc4wec 6 2 Definition Definition NNP cord-011327-zsoc4wec 6 3 : : : cord-011327-zsoc4wec 7 1 The the DT cord-011327-zsoc4wec 7 2 expression expression NN cord-011327-zsoc4wec 7 3 " " `` cord-011327-zsoc4wec 7 4 prophylactic prophylactic JJ cord-011327-zsoc4wec 7 5 " " '' cord-011327-zsoc4wec 7 6 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 7 7 therapy therapy NN cord-011327-zsoc4wec 7 8 has have VBZ cord-011327-zsoc4wec 7 9 multiple multiple JJ cord-011327-zsoc4wec 7 10 uses use NNS cord-011327-zsoc4wec 7 11 in in IN cord-011327-zsoc4wec 7 12 the the DT cord-011327-zsoc4wec 7 13 context context NN cord-011327-zsoc4wec 7 14 of of IN cord-011327-zsoc4wec 7 15 intensive intensive JJ cord-011327-zsoc4wec 7 16 care care NN cord-011327-zsoc4wec 7 17 ( ( -LRB- cord-011327-zsoc4wec 7 18 Supplement Supplement NNP cord-011327-zsoc4wec 7 19 B B NNP cord-011327-zsoc4wec 7 20 ) ) -RRB- cord-011327-zsoc4wec 8 1 [ [ -LRB- cord-011327-zsoc4wec 8 2 9 9 CD cord-011327-zsoc4wec 8 3 ] ] -RRB- cord-011327-zsoc4wec 8 4 . . . cord-011327-zsoc4wec 9 1 There there EX cord-011327-zsoc4wec 9 2 is be VBZ cord-011327-zsoc4wec 9 3 also also RB cord-011327-zsoc4wec 9 4 significant significant JJ cord-011327-zsoc4wec 9 5 overlap overlap NN cord-011327-zsoc4wec 9 6 in in IN cord-011327-zsoc4wec 9 7 the the DT cord-011327-zsoc4wec 9 8 use use NN cord-011327-zsoc4wec 9 9 of of IN cord-011327-zsoc4wec 9 10 " " `` cord-011327-zsoc4wec 9 11 prophylactic prophylactic JJ cord-011327-zsoc4wec 9 12 " " '' cord-011327-zsoc4wec 9 13 and and CC cord-011327-zsoc4wec 9 14 " " `` cord-011327-zsoc4wec 9 15 pre pre JJ cord-011327-zsoc4wec 9 16 - - JJ cord-011327-zsoc4wec 9 17 emptive emptive JJ cord-011327-zsoc4wec 9 18 " " '' cord-011327-zsoc4wec 9 19 antibiotic antibiotic JJ cord-011327-zsoc4wec 9 20 administration administration NN cord-011327-zsoc4wec 9 21 in in IN cord-011327-zsoc4wec 9 22 the the DT cord-011327-zsoc4wec 9 23 literature literature NN cord-011327-zsoc4wec 9 24 [ [ -LRB- cord-011327-zsoc4wec 9 25 10 10 CD cord-011327-zsoc4wec 9 26 ] ] -RRB- cord-011327-zsoc4wec 9 27 . . . cord-011327-zsoc4wec 10 1 Prophylactic prophylactic JJ cord-011327-zsoc4wec 10 2 therapy therapy NN cord-011327-zsoc4wec 10 3 usually usually RB cord-011327-zsoc4wec 10 4 entails entail VBZ cord-011327-zsoc4wec 10 5 administration administration NN cord-011327-zsoc4wec 10 6 of of IN cord-011327-zsoc4wec 10 7 a a DT cord-011327-zsoc4wec 10 8 single single JJ cord-011327-zsoc4wec 10 9 dose dose NN cord-011327-zsoc4wec 10 10 or or CC cord-011327-zsoc4wec 10 11 , , , cord-011327-zsoc4wec 10 12 at at IN cord-011327-zsoc4wec 10 13 most most JJS cord-011327-zsoc4wec 10 14 , , , cord-011327-zsoc4wec 10 15 a a DT cord-011327-zsoc4wec 10 16 day day NN cord-011327-zsoc4wec 10 17 of of IN cord-011327-zsoc4wec 10 18 antibiotic antibiotic JJ cord-011327-zsoc4wec 10 19 treatment treatment NN cord-011327-zsoc4wec 10 20 for for IN cord-011327-zsoc4wec 10 21 prevention prevention NN cord-011327-zsoc4wec 10 22 of of IN cord-011327-zsoc4wec 10 23 infection infection NN cord-011327-zsoc4wec 10 24 when when WRB cord-011327-zsoc4wec 10 25 there there EX cord-011327-zsoc4wec 10 26 is be VBZ cord-011327-zsoc4wec 10 27 no no DT cord-011327-zsoc4wec 10 28 evidence evidence NN cord-011327-zsoc4wec 10 29 or or CC cord-011327-zsoc4wec 10 30 suspicion suspicion NN cord-011327-zsoc4wec 10 31 of of IN cord-011327-zsoc4wec 10 32 infection infection NN cord-011327-zsoc4wec 10 33 already already RB cord-011327-zsoc4wec 10 34 being be VBG cord-011327-zsoc4wec 10 35 present present JJ cord-011327-zsoc4wec 10 36 [ [ -LRB- cord-011327-zsoc4wec 10 37 4 4 CD cord-011327-zsoc4wec 10 38 ] ] -RRB- cord-011327-zsoc4wec 10 39 . . . cord-011327-zsoc4wec 11 1 There there EX cord-011327-zsoc4wec 11 2 is be VBZ cord-011327-zsoc4wec 11 3 also also RB cord-011327-zsoc4wec 11 4 little little JJ cord-011327-zsoc4wec 11 5 - - HYPH cord-011327-zsoc4wec 11 6 to to IN cord-011327-zsoc4wec 11 7 - - HYPH cord-011327-zsoc4wec 11 8 no no DT cord-011327-zsoc4wec 11 9 literature literature NN cord-011327-zsoc4wec 11 10 on on IN cord-011327-zsoc4wec 11 11 the the DT cord-011327-zsoc4wec 11 12 ideal ideal JJ cord-011327-zsoc4wec 11 13 time time NN cord-011327-zsoc4wec 11 14 for for IN cord-011327-zsoc4wec 11 15 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 11 16 prophylaxis prophylaxis NN cord-011327-zsoc4wec 11 17 ; ; : cord-011327-zsoc4wec 11 18 this this DT cord-011327-zsoc4wec 11 19 time time NN cord-011327-zsoc4wec 11 20 frame frame NN cord-011327-zsoc4wec 11 21 may may MD cord-011327-zsoc4wec 11 22 eventually eventually RB cord-011327-zsoc4wec 11 23 vary vary VB cord-011327-zsoc4wec 11 24 depending depend VBG cord-011327-zsoc4wec 11 25 on on IN cord-011327-zsoc4wec 11 26 patient patient JJ cord-011327-zsoc4wec 11 27 and and CC cord-011327-zsoc4wec 11 28 environmental environmental JJ cord-011327-zsoc4wec 11 29 conditions condition NNS cord-011327-zsoc4wec 11 30 and and CC cord-011327-zsoc4wec 11 31 the the DT cord-011327-zsoc4wec 11 32 type type NN cord-011327-zsoc4wec 11 33 of of IN cord-011327-zsoc4wec 11 34 procedure procedure NN cord-011327-zsoc4wec 11 35 to to TO cord-011327-zsoc4wec 11 36 be be VB cord-011327-zsoc4wec 11 37 performed perform VBN cord-011327-zsoc4wec 11 38 . . . cord-011327-zsoc4wec 12 1 Such such JJ cord-011327-zsoc4wec 12 2 time time NN cord-011327-zsoc4wec 12 3 frames frame NNS cord-011327-zsoc4wec 12 4 should should MD cord-011327-zsoc4wec 12 5 ideally ideally RB cord-011327-zsoc4wec 12 6 be be VB cord-011327-zsoc4wec 12 7 determined determine VBN cord-011327-zsoc4wec 12 8 in in IN cord-011327-zsoc4wec 12 9 multicentre multicentre NNP cord-011327-zsoc4wec 12 10 studies study NNS cord-011327-zsoc4wec 12 11 randomising randomise VBG cord-011327-zsoc4wec 12 12 critically critically RB cord-011327-zsoc4wec 12 13 ill ill JJ cord-011327-zsoc4wec 12 14 patients patient NNS cord-011327-zsoc4wec 12 15 to to IN cord-011327-zsoc4wec 12 16 different different JJ cord-011327-zsoc4wec 12 17 timing timing NN cord-011327-zsoc4wec 12 18 of of IN cord-011327-zsoc4wec 12 19 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 12 20 administration administration NN cord-011327-zsoc4wec 12 21 . . . cord-011327-zsoc4wec 13 1 In in IN cord-011327-zsoc4wec 13 2 the the DT cord-011327-zsoc4wec 13 3 interim interim NN cord-011327-zsoc4wec 13 4 , , , cord-011327-zsoc4wec 13 5 extrapolation extrapolation NN cord-011327-zsoc4wec 13 6 from from IN cord-011327-zsoc4wec 13 7 populations population NNS cord-011327-zsoc4wec 13 8 that that WDT cord-011327-zsoc4wec 13 9 are be VBP cord-011327-zsoc4wec 13 10 not not RB cord-011327-zsoc4wec 13 11 critically critically RB cord-011327-zsoc4wec 13 12 ill ill JJ cord-011327-zsoc4wec 13 13 and and CC cord-011327-zsoc4wec 13 14 from from IN cord-011327-zsoc4wec 13 15 database database NN cord-011327-zsoc4wec 13 16 analyses analysis NNS cord-011327-zsoc4wec 13 17 suggests suggest VBZ cord-011327-zsoc4wec 13 18 that that IN cord-011327-zsoc4wec 13 19 prophylactic prophylactic JJ cord-011327-zsoc4wec 13 20 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 13 21 therapy therapy NN cord-011327-zsoc4wec 13 22 is be VBZ cord-011327-zsoc4wec 13 23 generally generally RB cord-011327-zsoc4wec 13 24 best well RBS cord-011327-zsoc4wec 13 25 timed time VBN cord-011327-zsoc4wec 13 26 to to IN cord-011327-zsoc4wec 13 27 around around IN cord-011327-zsoc4wec 13 28 1 1 CD cord-011327-zsoc4wec 13 29 h h NN cord-011327-zsoc4wec 13 30 before before IN cord-011327-zsoc4wec 13 31 performance performance NN cord-011327-zsoc4wec 13 32 of of IN cord-011327-zsoc4wec 13 33 invasive invasive JJ cord-011327-zsoc4wec 13 34 procedures procedure NNS cord-011327-zsoc4wec 13 35 [ [ -LRB- cord-011327-zsoc4wec 13 36 11 11 CD cord-011327-zsoc4wec 13 37 , , , cord-011327-zsoc4wec 13 38 12 12 CD cord-011327-zsoc4wec 13 39 ] ] -RRB- cord-011327-zsoc4wec 13 40 . . . cord-011327-zsoc4wec 14 1 Prevalence prevalence NN cord-011327-zsoc4wec 14 2 : : : cord-011327-zsoc4wec 15 1 Several several JJ cord-011327-zsoc4wec 15 2 studies study NNS cord-011327-zsoc4wec 15 3 suggest suggest VBP cord-011327-zsoc4wec 15 4 that that IN cord-011327-zsoc4wec 15 5 prophylactic prophylactic JJ cord-011327-zsoc4wec 15 6 administration administration NN cord-011327-zsoc4wec 15 7 of of IN cord-011327-zsoc4wec 15 8 antimicrobials antimicrobial NNS cord-011327-zsoc4wec 15 9 is be VBZ cord-011327-zsoc4wec 15 10 commonly commonly RB cord-011327-zsoc4wec 15 11 practiced practice VBN cord-011327-zsoc4wec 15 12 in in IN cord-011327-zsoc4wec 15 13 the the DT cord-011327-zsoc4wec 15 14 ICU ICU NNP cord-011327-zsoc4wec 15 15 . . . cord-011327-zsoc4wec 16 1 A a DT cord-011327-zsoc4wec 16 2 single single JJ cord-011327-zsoc4wec 16 3 - - HYPH cord-011327-zsoc4wec 16 4 centre centre NN cord-011327-zsoc4wec 16 5 prospective prospective JJ cord-011327-zsoc4wec 16 6 study study NN cord-011327-zsoc4wec 16 7 conducted conduct VBN cord-011327-zsoc4wec 16 8 in in IN cord-011327-zsoc4wec 16 9 Belgium Belgium NNP cord-011327-zsoc4wec 16 10 showed show VBD cord-011327-zsoc4wec 16 11 that that IN cord-011327-zsoc4wec 16 12 among among IN cord-011327-zsoc4wec 16 13 10,731 10,731 CD cord-011327-zsoc4wec 16 14 antibiotic antibiotic JJ cord-011327-zsoc4wec 16 15 treatment treatment NN cord-011327-zsoc4wec 16 16 courses course NNS cord-011327-zsoc4wec 16 17 recorded record VBN cord-011327-zsoc4wec 16 18 for for IN cord-011327-zsoc4wec 16 19 3 3 CD cord-011327-zsoc4wec 16 20 years year NNS cord-011327-zsoc4wec 16 21 , , , cord-011327-zsoc4wec 16 22 42 42 CD cord-011327-zsoc4wec 16 23 % % NN cord-011327-zsoc4wec 16 24 ( ( -LRB- cord-011327-zsoc4wec 16 25 n n NN cord-011327-zsoc4wec 16 26 = = SYM cord-011327-zsoc4wec 16 27 4525 4525 CD cord-011327-zsoc4wec 16 28 ) ) -RRB- cord-011327-zsoc4wec 16 29 were be VBD cord-011327-zsoc4wec 16 30 prescribed prescribe VBN cord-011327-zsoc4wec 16 31 for for IN cord-011327-zsoc4wec 16 32 prophylaxis prophylaxis NN cord-011327-zsoc4wec 16 33 [ [ -LRB- cord-011327-zsoc4wec 16 34 13 13 CD cord-011327-zsoc4wec 16 35 ] ] -RRB- cord-011327-zsoc4wec 16 36 . . . cord-011327-zsoc4wec 17 1 A a DT cord-011327-zsoc4wec 17 2 nationwide nationwide JJ cord-011327-zsoc4wec 17 3 , , , cord-011327-zsoc4wec 17 4 single single JJ cord-011327-zsoc4wec 17 5 - - HYPH cord-011327-zsoc4wec 17 6 day day NN cord-011327-zsoc4wec 17 7 survey survey NN cord-011327-zsoc4wec 17 8 conducted conduct VBN cord-011327-zsoc4wec 17 9 among among IN cord-011327-zsoc4wec 17 10 52 52 CD cord-011327-zsoc4wec 17 11 ICUs icu NNS cord-011327-zsoc4wec 17 12 in in IN cord-011327-zsoc4wec 17 13 Japan Japan NNP cord-011327-zsoc4wec 17 14 found find VBD cord-011327-zsoc4wec 17 15 that that IN cord-011327-zsoc4wec 17 16 34 34 CD cord-011327-zsoc4wec 17 17 % % NN cord-011327-zsoc4wec 17 18 ( ( -LRB- cord-011327-zsoc4wec 17 19 n n NN cord-011327-zsoc4wec 17 20 = = SYM cord-011327-zsoc4wec 17 21 331/1028 331/1028 CD cord-011327-zsoc4wec 17 22 ) ) -RRB- cord-011327-zsoc4wec 17 23 of of IN cord-011327-zsoc4wec 17 24 the the DT cord-011327-zsoc4wec 17 25 prescriptions prescription NNS cord-011327-zsoc4wec 17 26 for for IN cord-011327-zsoc4wec 17 27 intravenous intravenous JJ cord-011327-zsoc4wec 17 28 antibiotics antibiotic NNS cord-011327-zsoc4wec 17 29 written write VBN cord-011327-zsoc4wec 17 30 that that DT cord-011327-zsoc4wec 17 31 day day NN cord-011327-zsoc4wec 17 32 were be VBD cord-011327-zsoc4wec 17 33 for for IN cord-011327-zsoc4wec 17 34 prophylaxis prophylaxis NN cord-011327-zsoc4wec 17 35 [ [ -LRB- cord-011327-zsoc4wec 17 36 14 14 CD cord-011327-zsoc4wec 17 37 ] ] -RRB- cord-011327-zsoc4wec 17 38 . . . cord-011327-zsoc4wec 18 1 Antimicrobial antimicrobial JJ cord-011327-zsoc4wec 18 2 prophylaxis prophylaxis NN cord-011327-zsoc4wec 18 3 may may MD cord-011327-zsoc4wec 18 4 be be VB cord-011327-zsoc4wec 18 5 administered administer VBN cord-011327-zsoc4wec 18 6 to to IN cord-011327-zsoc4wec 18 7 patients patient NNS cord-011327-zsoc4wec 18 8 undergoing undergo VBG cord-011327-zsoc4wec 18 9 a a DT cord-011327-zsoc4wec 18 10 surgical surgical JJ cord-011327-zsoc4wec 18 11 procedure procedure NN cord-011327-zsoc4wec 18 12 during during IN cord-011327-zsoc4wec 18 13 their -PRON- PRP$ cord-011327-zsoc4wec 18 14 ICU ICU NNP cord-011327-zsoc4wec 18 15 stay stay NN cord-011327-zsoc4wec 18 16 and and CC cord-011327-zsoc4wec 18 17 as as IN cord-011327-zsoc4wec 18 18 a a DT cord-011327-zsoc4wec 18 19 non non JJ cord-011327-zsoc4wec 18 20 - - JJ cord-011327-zsoc4wec 18 21 surgical surgical JJ cord-011327-zsoc4wec 18 22 prophylaxis prophylaxis NN cord-011327-zsoc4wec 18 23 to to IN cord-011327-zsoc4wec 18 24 ICU ICU NNP cord-011327-zsoc4wec 18 25 patients patient NNS cord-011327-zsoc4wec 18 26 who who WP cord-011327-zsoc4wec 18 27 undergo undergo VBP cord-011327-zsoc4wec 18 28 insertion insertion NN cord-011327-zsoc4wec 18 29 of of IN cord-011327-zsoc4wec 18 30 an an DT cord-011327-zsoc4wec 18 31 external external JJ cord-011327-zsoc4wec 18 32 - - HYPH cord-011327-zsoc4wec 18 33 internal internal JJ cord-011327-zsoc4wec 18 34 foreign foreign JJ cord-011327-zsoc4wec 18 35 body body NN cord-011327-zsoc4wec 18 36 that that WDT cord-011327-zsoc4wec 18 37 remains remain VBZ cord-011327-zsoc4wec 18 38 in in IN cord-011327-zsoc4wec 18 39 situ situ NN cord-011327-zsoc4wec 18 40 for for IN cord-011327-zsoc4wec 18 41 a a DT cord-011327-zsoc4wec 18 42 prolonged prolonged JJ cord-011327-zsoc4wec 18 43 period period NN cord-011327-zsoc4wec 18 44 of of IN cord-011327-zsoc4wec 18 45 time time NN cord-011327-zsoc4wec 18 46 . . . cord-011327-zsoc4wec 19 1 These these DT cord-011327-zsoc4wec 19 2 two two CD cord-011327-zsoc4wec 19 3 clinical clinical JJ cord-011327-zsoc4wec 19 4 scenarios scenario NNS cord-011327-zsoc4wec 19 5 differ differ VBP cord-011327-zsoc4wec 19 6 and and CC cord-011327-zsoc4wec 19 7 are be VBP cord-011327-zsoc4wec 19 8 , , , cord-011327-zsoc4wec 19 9 therefore therefore RB cord-011327-zsoc4wec 19 10 , , , cord-011327-zsoc4wec 19 11 discussed discuss VBN cord-011327-zsoc4wec 19 12 separately separately RB cord-011327-zsoc4wec 19 13 . . . cord-011327-zsoc4wec 20 1 Surgical surgical JJ cord-011327-zsoc4wec 20 2 procedures procedure NNS cord-011327-zsoc4wec 20 3 : : : cord-011327-zsoc4wec 20 4 Surgical surgical JJ cord-011327-zsoc4wec 20 5 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 20 6 prophylaxis prophylaxis NN cord-011327-zsoc4wec 20 7 ( ( -LRB- cord-011327-zsoc4wec 20 8 SAP SAP NNP cord-011327-zsoc4wec 20 9 ) ) -RRB- cord-011327-zsoc4wec 20 10 for for IN cord-011327-zsoc4wec 20 11 prevention prevention NN cord-011327-zsoc4wec 20 12 of of IN cord-011327-zsoc4wec 20 13 surgical surgical JJ cord-011327-zsoc4wec 20 14 site site NN cord-011327-zsoc4wec 20 15 infections infection NNS cord-011327-zsoc4wec 20 16 is be VBZ cord-011327-zsoc4wec 20 17 the the DT cord-011327-zsoc4wec 20 18 most most RBS cord-011327-zsoc4wec 20 19 frequent frequent JJ cord-011327-zsoc4wec 20 20 hospital hospital NN cord-011327-zsoc4wec 20 21 - - HYPH cord-011327-zsoc4wec 20 22 wide wide JJ cord-011327-zsoc4wec 20 23 indication indication NN cord-011327-zsoc4wec 20 24 for for IN cord-011327-zsoc4wec 20 25 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 20 26 use use NN cord-011327-zsoc4wec 20 27 . . . cord-011327-zsoc4wec 21 1 However however RB cord-011327-zsoc4wec 21 2 , , , cord-011327-zsoc4wec 21 3 SAP SAP NNP cord-011327-zsoc4wec 21 4 is be VBZ cord-011327-zsoc4wec 21 5 also also RB cord-011327-zsoc4wec 21 6 commonly commonly RB cord-011327-zsoc4wec 21 7 practiced practice VBN cord-011327-zsoc4wec 21 8 in in IN cord-011327-zsoc4wec 21 9 many many JJ cord-011327-zsoc4wec 21 10 ICUs icu NNS cord-011327-zsoc4wec 21 11 . . . cord-011327-zsoc4wec 22 1 A a DT cord-011327-zsoc4wec 22 2 single single JJ cord-011327-zsoc4wec 22 3 - - HYPH cord-011327-zsoc4wec 22 4 centre centre NN cord-011327-zsoc4wec 22 5 study study NN cord-011327-zsoc4wec 22 6 conducted conduct VBN cord-011327-zsoc4wec 22 7 recently recently RB cord-011327-zsoc4wec 22 8 in in IN cord-011327-zsoc4wec 22 9 a a DT cord-011327-zsoc4wec 22 10 Belgian belgian JJ cord-011327-zsoc4wec 22 11 ICU ICU NNP cord-011327-zsoc4wec 22 12 showed show VBD cord-011327-zsoc4wec 22 13 that that IN cord-011327-zsoc4wec 22 14 SAP SAP NNP cord-011327-zsoc4wec 22 15 and and CC cord-011327-zsoc4wec 22 16 prophylaxis prophylaxis NN cord-011327-zsoc4wec 22 17 for for IN cord-011327-zsoc4wec 22 18 immunocompromised immunocompromised JJ cord-011327-zsoc4wec 22 19 patients patient NNS cord-011327-zsoc4wec 22 20 constituted constitute VBD cord-011327-zsoc4wec 22 21 two two CD cord-011327-zsoc4wec 22 22 - - HYPH cord-011327-zsoc4wec 22 23 thirds third NNS cord-011327-zsoc4wec 22 24 of of IN cord-011327-zsoc4wec 22 25 prophylactic prophylactic JJ cord-011327-zsoc4wec 22 26 antibiotic antibiotic JJ cord-011327-zsoc4wec 22 27 treatments treatment NNS cord-011327-zsoc4wec 22 28 prescribed prescribe VBN cord-011327-zsoc4wec 22 29 [ [ -LRB- cord-011327-zsoc4wec 22 30 13 13 CD cord-011327-zsoc4wec 22 31 ] ] -RRB- cord-011327-zsoc4wec 22 32 . . . cord-011327-zsoc4wec 23 1 In in IN cord-011327-zsoc4wec 23 2 non non JJ cord-011327-zsoc4wec 23 3 - - JJ cord-011327-zsoc4wec 23 4 ICU icu JJ cord-011327-zsoc4wec 23 5 patients patient NNS cord-011327-zsoc4wec 23 6 , , , cord-011327-zsoc4wec 23 7 it -PRON- PRP cord-011327-zsoc4wec 23 8 is be VBZ cord-011327-zsoc4wec 23 9 recommended recommend VBN cord-011327-zsoc4wec 23 10 that that IN cord-011327-zsoc4wec 23 11 SAP SAP NNP cord-011327-zsoc4wec 23 12 be be VB cord-011327-zsoc4wec 23 13 administered administer VBN cord-011327-zsoc4wec 23 14 30 30 CD cord-011327-zsoc4wec 23 15 - - SYM cord-011327-zsoc4wec 23 16 60 60 CD cord-011327-zsoc4wec 23 17 min min NN cord-011327-zsoc4wec 23 18 before before IN cord-011327-zsoc4wec 23 19 surgical surgical JJ cord-011327-zsoc4wec 23 20 incision incision NN cord-011327-zsoc4wec 23 21 to to TO cord-011327-zsoc4wec 23 22 enable enable VB cord-011327-zsoc4wec 23 23 achievement achievement NN cord-011327-zsoc4wec 23 24 of of IN cord-011327-zsoc4wec 23 25 a a DT cord-011327-zsoc4wec 23 26 high high JJ cord-011327-zsoc4wec 23 27 serum serum NN cord-011327-zsoc4wec 23 28 concentration concentration NN cord-011327-zsoc4wec 23 29 of of IN cord-011327-zsoc4wec 23 30 antibiotics antibiotic NNS cord-011327-zsoc4wec 23 31 prior prior RB cord-011327-zsoc4wec 23 32 to to IN cord-011327-zsoc4wec 23 33 incision incision NN cord-011327-zsoc4wec 23 34 [ [ -LRB- cord-011327-zsoc4wec 23 35 11 11 CD cord-011327-zsoc4wec 23 36 , , , cord-011327-zsoc4wec 23 37 12 12 CD cord-011327-zsoc4wec 23 38 ] ] -RRB- cord-011327-zsoc4wec 23 39 . . . cord-011327-zsoc4wec 24 1 Re re NN cord-011327-zsoc4wec 24 2 - - NN cord-011327-zsoc4wec 24 3 injection injection NN cord-011327-zsoc4wec 24 4 is be VBZ cord-011327-zsoc4wec 24 5 recommended recommend VBN cord-011327-zsoc4wec 24 6 during during IN cord-011327-zsoc4wec 24 7 the the DT cord-011327-zsoc4wec 24 8 procedure procedure NN cord-011327-zsoc4wec 24 9 every every DT cord-011327-zsoc4wec 24 10 two two CD cord-011327-zsoc4wec 24 11 half half RB cord-011327-zsoc4wec 24 12 - - HYPH cord-011327-zsoc4wec 24 13 lives life NNS cord-011327-zsoc4wec 24 14 of of IN cord-011327-zsoc4wec 24 15 the the DT cord-011327-zsoc4wec 24 16 antibiotic antibiotic JJ cord-011327-zsoc4wec 24 17 [ [ -LRB- cord-011327-zsoc4wec 24 18 12 12 CD cord-011327-zsoc4wec 24 19 ] ] -RRB- cord-011327-zsoc4wec 24 20 . . . cord-011327-zsoc4wec 25 1 If if IN cord-011327-zsoc4wec 25 2 surgery surgery NN cord-011327-zsoc4wec 25 3 is be VBZ cord-011327-zsoc4wec 25 4 conducted conduct VBN cord-011327-zsoc4wec 25 5 prior prior RB cord-011327-zsoc4wec 25 6 to to IN cord-011327-zsoc4wec 25 7 ICU ICU NNP cord-011327-zsoc4wec 25 8 admission admission NN cord-011327-zsoc4wec 25 9 and/or and/or CC cord-011327-zsoc4wec 25 10 within within IN cord-011327-zsoc4wec 25 11 the the DT cord-011327-zsoc4wec 25 12 first first JJ cord-011327-zsoc4wec 25 13 48 48 CD cord-011327-zsoc4wec 25 14 h h NN cord-011327-zsoc4wec 25 15 of of IN cord-011327-zsoc4wec 25 16 ICU ICU NNP cord-011327-zsoc4wec 25 17 admission admission NN cord-011327-zsoc4wec 25 18 , , , cord-011327-zsoc4wec 25 19 the the DT cord-011327-zsoc4wec 25 20 recommendations recommendation NNS cord-011327-zsoc4wec 25 21 for for IN cord-011327-zsoc4wec 25 22 SAP SAP NNP cord-011327-zsoc4wec 25 23 remain remain VBP cord-011327-zsoc4wec 25 24 unchanged unchanged JJ cord-011327-zsoc4wec 25 25 ; ; : cord-011327-zsoc4wec 25 26 they -PRON- PRP cord-011327-zsoc4wec 25 27 are be VBP cord-011327-zsoc4wec 25 28 similar similar JJ cord-011327-zsoc4wec 25 29 to to IN cord-011327-zsoc4wec 25 30 the the DT cord-011327-zsoc4wec 25 31 recommendations recommendation NNS cord-011327-zsoc4wec 25 32 of of IN cord-011327-zsoc4wec 25 33 any any DT cord-011327-zsoc4wec 25 34 department department NN cord-011327-zsoc4wec 25 35 of of IN cord-011327-zsoc4wec 25 36 emergency emergency NN cord-011327-zsoc4wec 25 37 medicine medicine NN cord-011327-zsoc4wec 25 38 or or CC cord-011327-zsoc4wec 25 39 ward ward NN cord-011327-zsoc4wec 25 40 [ [ -LRB- cord-011327-zsoc4wec 25 41 15 15 CD cord-011327-zsoc4wec 25 42 ] ] -RRB- cord-011327-zsoc4wec 25 43 . . . cord-011327-zsoc4wec 26 1 However however RB cord-011327-zsoc4wec 26 2 , , , cord-011327-zsoc4wec 26 3 in in IN cord-011327-zsoc4wec 26 4 ICU ICU NNP cord-011327-zsoc4wec 26 5 , , , cord-011327-zsoc4wec 26 6 patients patient NNS cord-011327-zsoc4wec 26 7 undergoing undergo VBG cord-011327-zsoc4wec 26 8 unplanned unplanned JJ cord-011327-zsoc4wec 26 9 surgery surgery NN cord-011327-zsoc4wec 26 10 after after IN cord-011327-zsoc4wec 26 11 staying stay VBG cord-011327-zsoc4wec 26 12 > > XX cord-011327-zsoc4wec 26 13 2 2 CD cord-011327-zsoc4wec 26 14 days day NNS cord-011327-zsoc4wec 26 15 in in IN cord-011327-zsoc4wec 26 16 the the DT cord-011327-zsoc4wec 26 17 ICU ICU NNP cord-011327-zsoc4wec 26 18 other other JJ cord-011327-zsoc4wec 26 19 considerations consideration NNS cord-011327-zsoc4wec 26 20 come come VBP cord-011327-zsoc4wec 26 21 into into IN cord-011327-zsoc4wec 26 22 play play NN cord-011327-zsoc4wec 26 23 . . . cord-011327-zsoc4wec 27 1 Colonization colonization NN cord-011327-zsoc4wec 27 2 with with IN cord-011327-zsoc4wec 27 3 MDR MDR NNP cord-011327-zsoc4wec 27 4 pathogens pathogen NNS cord-011327-zsoc4wec 27 5 increases increase NNS cord-011327-zsoc4wec 27 6 during during IN cord-011327-zsoc4wec 27 7 the the DT cord-011327-zsoc4wec 27 8 hospital hospital NN cord-011327-zsoc4wec 27 9 stay stay NN cord-011327-zsoc4wec 27 10 [ [ -LRB- cord-011327-zsoc4wec 27 11 16 16 CD cord-011327-zsoc4wec 27 12 ] ] -RRB- cord-011327-zsoc4wec 27 13 . . . cord-011327-zsoc4wec 28 1 Prior prior JJ cord-011327-zsoc4wec 28 2 antibiotic antibiotic JJ cord-011327-zsoc4wec 28 3 treatment treatment NN cord-011327-zsoc4wec 28 4 and and CC cord-011327-zsoc4wec 28 5 prior prior JJ cord-011327-zsoc4wec 28 6 environmental environmental JJ cord-011327-zsoc4wec 28 7 exposure exposure NN cord-011327-zsoc4wec 28 8 also also RB cord-011327-zsoc4wec 28 9 affect affect VBP cord-011327-zsoc4wec 28 10 the the DT cord-011327-zsoc4wec 28 11 prevalence prevalence NN cord-011327-zsoc4wec 28 12 of of IN cord-011327-zsoc4wec 28 13 colonization colonization NN cord-011327-zsoc4wec 28 14 by by IN cord-011327-zsoc4wec 28 15 MDR MDR NNP cord-011327-zsoc4wec 28 16 pathogens pathogen NNS cord-011327-zsoc4wec 28 17 [ [ -LRB- cord-011327-zsoc4wec 28 18 17 17 CD cord-011327-zsoc4wec 28 19 ] ] -RRB- cord-011327-zsoc4wec 28 20 . . . cord-011327-zsoc4wec 29 1 In in IN cord-011327-zsoc4wec 29 2 such such JJ cord-011327-zsoc4wec 29 3 cases case NNS cord-011327-zsoc4wec 29 4 , , , cord-011327-zsoc4wec 29 5 the the DT cord-011327-zsoc4wec 29 6 spectrum spectrum NN cord-011327-zsoc4wec 29 7 of of IN cord-011327-zsoc4wec 29 8 antibiotics antibiotic NNS cord-011327-zsoc4wec 29 9 required require VBN cord-011327-zsoc4wec 29 10 constitutes constitute VBZ cord-011327-zsoc4wec 29 11 a a DT cord-011327-zsoc4wec 29 12 major major JJ cord-011327-zsoc4wec 29 13 challenge challenge NN cord-011327-zsoc4wec 29 14 because because IN cord-011327-zsoc4wec 29 15 of of IN cord-011327-zsoc4wec 29 16 the the DT cord-011327-zsoc4wec 29 17 potential potential JJ cord-011327-zsoc4wec 29 18 need need NN cord-011327-zsoc4wec 29 19 to to TO cord-011327-zsoc4wec 29 20 cover cover VB cord-011327-zsoc4wec 29 21 and and CC cord-011327-zsoc4wec 29 22 manage manage VB cord-011327-zsoc4wec 29 23 MDRs mdr NNS cord-011327-zsoc4wec 29 24 in in IN cord-011327-zsoc4wec 29 25 the the DT cord-011327-zsoc4wec 29 26 operative operative NN cord-011327-zsoc4wec 29 27 setting setting NN cord-011327-zsoc4wec 29 28 and and CC cord-011327-zsoc4wec 29 29 because because IN cord-011327-zsoc4wec 29 30 in in IN cord-011327-zsoc4wec 29 31 fragile fragile JJ cord-011327-zsoc4wec 29 32 patients patient NNS cord-011327-zsoc4wec 29 33 , , , cord-011327-zsoc4wec 29 34 there there EX cord-011327-zsoc4wec 29 35 is be VBZ cord-011327-zsoc4wec 29 36 an an DT cord-011327-zsoc4wec 29 37 unproven unproven JJ cord-011327-zsoc4wec 29 38 concern concern NN cord-011327-zsoc4wec 29 39 not not RB cord-011327-zsoc4wec 29 40 only only RB cord-011327-zsoc4wec 29 41 for for IN cord-011327-zsoc4wec 29 42 surgical surgical JJ cord-011327-zsoc4wec 29 43 site site NN cord-011327-zsoc4wec 29 44 , , , cord-011327-zsoc4wec 29 45 but but CC cord-011327-zsoc4wec 29 46 also also RB cord-011327-zsoc4wec 29 47 for for IN cord-011327-zsoc4wec 29 48 systemic systemic JJ cord-011327-zsoc4wec 29 49 infection infection NN cord-011327-zsoc4wec 29 50 [ [ -LRB- cord-011327-zsoc4wec 29 51 18 18 CD cord-011327-zsoc4wec 29 52 ] ] -RRB- cord-011327-zsoc4wec 29 53 . . . cord-011327-zsoc4wec 30 1 A a DT cord-011327-zsoc4wec 30 2 single single JJ cord-011327-zsoc4wec 30 3 - - HYPH cord-011327-zsoc4wec 30 4 centre centre NN cord-011327-zsoc4wec 30 5 , , , cord-011327-zsoc4wec 30 6 observational observational JJ cord-011327-zsoc4wec 30 7 study study NN cord-011327-zsoc4wec 30 8 which which WDT cord-011327-zsoc4wec 30 9 reported report VBD cord-011327-zsoc4wec 30 10 on on IN cord-011327-zsoc4wec 30 11 a a DT cord-011327-zsoc4wec 30 12 small small JJ cord-011327-zsoc4wec 30 13 number number NN cord-011327-zsoc4wec 30 14 of of IN cord-011327-zsoc4wec 30 15 patients patient NNS cord-011327-zsoc4wec 30 16 ( ( -LRB- cord-011327-zsoc4wec 30 17 n n NN cord-011327-zsoc4wec 30 18 = = SYM cord-011327-zsoc4wec 30 19 44 44 CD cord-011327-zsoc4wec 30 20 ) ) -RRB- cord-011327-zsoc4wec 30 21 has have VBZ cord-011327-zsoc4wec 30 22 shown show VBN cord-011327-zsoc4wec 30 23 great great JJ cord-011327-zsoc4wec 30 24 variability variability NN cord-011327-zsoc4wec 30 25 of of IN cord-011327-zsoc4wec 30 26 practices practice NNS cord-011327-zsoc4wec 30 27 in in IN cord-011327-zsoc4wec 30 28 these these DT cord-011327-zsoc4wec 30 29 patients patient NNS cord-011327-zsoc4wec 30 30 [ [ -LRB- cord-011327-zsoc4wec 30 31 19 19 CD cord-011327-zsoc4wec 30 32 ] ] -RRB- cord-011327-zsoc4wec 30 33 . . . cord-011327-zsoc4wec 31 1 To to IN cord-011327-zsoc4wec 31 2 date date NN cord-011327-zsoc4wec 31 3 , , , cord-011327-zsoc4wec 31 4 there there EX cord-011327-zsoc4wec 31 5 is be VBZ cord-011327-zsoc4wec 31 6 no no DT cord-011327-zsoc4wec 31 7 evidence evidence NN cord-011327-zsoc4wec 31 8 to to TO cord-011327-zsoc4wec 31 9 support support VB cord-011327-zsoc4wec 31 10 the the DT cord-011327-zsoc4wec 31 11 universal universal JJ cord-011327-zsoc4wec 31 12 use use NN cord-011327-zsoc4wec 31 13 of of IN cord-011327-zsoc4wec 31 14 prophylaxis prophylaxis NN cord-011327-zsoc4wec 31 15 targeted target VBN cord-011327-zsoc4wec 31 16 against against IN cord-011327-zsoc4wec 31 17 MDR MDR NNP cord-011327-zsoc4wec 31 18 . . . cord-011327-zsoc4wec 32 1 This this DT cord-011327-zsoc4wec 32 2 approach approach NN cord-011327-zsoc4wec 32 3 should should MD cord-011327-zsoc4wec 32 4 be be VB cord-011327-zsoc4wec 32 5 investigated investigate VBN cord-011327-zsoc4wec 32 6 in in IN cord-011327-zsoc4wec 32 7 future future JJ cord-011327-zsoc4wec 32 8 studies study NNS cord-011327-zsoc4wec 32 9 , , , cord-011327-zsoc4wec 32 10 as as IN cord-011327-zsoc4wec 32 11 it -PRON- PRP cord-011327-zsoc4wec 32 12 can can MD cord-011327-zsoc4wec 32 13 constitute constitute VB cord-011327-zsoc4wec 32 14 a a DT cord-011327-zsoc4wec 32 15 vicious vicious JJ cord-011327-zsoc4wec 32 16 circle circle NN cord-011327-zsoc4wec 32 17 for for IN cord-011327-zsoc4wec 32 18 the the DT cord-011327-zsoc4wec 32 19 development development NN cord-011327-zsoc4wec 32 20 of of IN cord-011327-zsoc4wec 32 21 MDR MDR NNP cord-011327-zsoc4wec 32 22 . . . cord-011327-zsoc4wec 33 1 Some some DT cord-011327-zsoc4wec 33 2 of of IN cord-011327-zsoc4wec 33 3 the the DT cord-011327-zsoc4wec 33 4 multiple multiple JJ cord-011327-zsoc4wec 33 5 factors factor NNS cord-011327-zsoc4wec 33 6 that that WDT cord-011327-zsoc4wec 33 7 should should MD cord-011327-zsoc4wec 33 8 be be VB cord-011327-zsoc4wec 33 9 taken take VBN cord-011327-zsoc4wec 33 10 into into IN cord-011327-zsoc4wec 33 11 account account NN cord-011327-zsoc4wec 33 12 when when WRB cord-011327-zsoc4wec 33 13 determining determine VBG cord-011327-zsoc4wec 33 14 the the DT cord-011327-zsoc4wec 33 15 choice choice NN cord-011327-zsoc4wec 33 16 of of IN cord-011327-zsoc4wec 33 17 antibiotic antibiotic NN cord-011327-zsoc4wec 33 18 in in IN cord-011327-zsoc4wec 33 19 such such JJ cord-011327-zsoc4wec 33 20 cases case NNS cord-011327-zsoc4wec 33 21 are be VBP cord-011327-zsoc4wec 33 22 presented present VBN cord-011327-zsoc4wec 33 23 in in IN cord-011327-zsoc4wec 33 24 Table Table NNP cord-011327-zsoc4wec 33 25 1 1 CD cord-011327-zsoc4wec 33 26 . . . cord-011327-zsoc4wec 34 1 There there EX cord-011327-zsoc4wec 34 2 are be VBP cord-011327-zsoc4wec 34 3 no no DT cord-011327-zsoc4wec 34 4 randomised randomised JJ cord-011327-zsoc4wec 34 5 controlled control VBN cord-011327-zsoc4wec 34 6 trials trial NNS cord-011327-zsoc4wec 34 7 on on IN cord-011327-zsoc4wec 34 8 the the DT cord-011327-zsoc4wec 34 9 effects effect NNS cord-011327-zsoc4wec 34 10 of of IN cord-011327-zsoc4wec 34 11 timing timing NN cord-011327-zsoc4wec 34 12 or or CC cord-011327-zsoc4wec 34 13 choice choice NN cord-011327-zsoc4wec 34 14 of of IN cord-011327-zsoc4wec 34 15 antibiotic antibiotic JJ cord-011327-zsoc4wec 34 16 prophylaxis prophylaxis NN cord-011327-zsoc4wec 34 17 on on IN cord-011327-zsoc4wec 34 18 the the DT cord-011327-zsoc4wec 34 19 outcomes outcome NNS cord-011327-zsoc4wec 34 20 of of IN cord-011327-zsoc4wec 34 21 ICU ICU NNP cord-011327-zsoc4wec 34 22 patients patient NNS cord-011327-zsoc4wec 34 23 requiring require VBG cord-011327-zsoc4wec 34 24 unplanned unplanned JJ cord-011327-zsoc4wec 34 25 surgical surgical JJ cord-011327-zsoc4wec 34 26 procedures procedure NNS cord-011327-zsoc4wec 34 27 . . . cord-011327-zsoc4wec 35 1 Nor nor CC cord-011327-zsoc4wec 35 2 are be VBP cord-011327-zsoc4wec 35 3 there there EX cord-011327-zsoc4wec 35 4 recommendations recommendation NNS cord-011327-zsoc4wec 35 5 for for IN cord-011327-zsoc4wec 35 6 antibiotic antibiotic JJ cord-011327-zsoc4wec 35 7 prophylaxis prophylaxis NN cord-011327-zsoc4wec 35 8 in in IN cord-011327-zsoc4wec 35 9 critically critically RB cord-011327-zsoc4wec 35 10 ill ill JJ cord-011327-zsoc4wec 35 11 patients patient NNS cord-011327-zsoc4wec 35 12 . . . cord-011327-zsoc4wec 36 1 Non non JJ cord-011327-zsoc4wec 36 2 - - JJ cord-011327-zsoc4wec 36 3 surgical surgical JJ cord-011327-zsoc4wec 36 4 prophylaxis prophylaxis NN cord-011327-zsoc4wec 36 5 : : : cord-011327-zsoc4wec 36 6 Many many JJ cord-011327-zsoc4wec 36 7 ICU ICU NNP cord-011327-zsoc4wec 36 8 patients patient NNS cord-011327-zsoc4wec 36 9 require require VBP cord-011327-zsoc4wec 36 10 insertion insertion NN cord-011327-zsoc4wec 36 11 of of IN cord-011327-zsoc4wec 36 12 an an DT cord-011327-zsoc4wec 36 13 external external JJ cord-011327-zsoc4wec 36 14 - - HYPH cord-011327-zsoc4wec 36 15 internal internal JJ cord-011327-zsoc4wec 36 16 foreign foreign JJ cord-011327-zsoc4wec 36 17 body body NN cord-011327-zsoc4wec 36 18 . . . cord-011327-zsoc4wec 37 1 Questions question NNS cord-011327-zsoc4wec 37 2 arise arise VBP cord-011327-zsoc4wec 37 3 regarding regard VBG cord-011327-zsoc4wec 37 4 prophylaxis prophylaxis NN cord-011327-zsoc4wec 37 5 before before IN cord-011327-zsoc4wec 37 6 insertion insertion NN cord-011327-zsoc4wec 37 7 and and CC cord-011327-zsoc4wec 37 8 for for IN cord-011327-zsoc4wec 37 9 tubing tubing NN cord-011327-zsoc4wec 37 10 remaining remain VBG cord-011327-zsoc4wec 37 11 in in IN cord-011327-zsoc4wec 37 12 situ situ NN cord-011327-zsoc4wec 37 13 for for IN cord-011327-zsoc4wec 37 14 a a DT cord-011327-zsoc4wec 37 15 prolonged prolonged JJ cord-011327-zsoc4wec 37 16 period period NN cord-011327-zsoc4wec 37 17 of of IN cord-011327-zsoc4wec 37 18 time time NN cord-011327-zsoc4wec 37 19 . . . cord-011327-zsoc4wec 38 1 We -PRON- PRP cord-011327-zsoc4wec 38 2 discuss discuss VBP cord-011327-zsoc4wec 38 3 three three CD cord-011327-zsoc4wec 38 4 of of IN cord-011327-zsoc4wec 38 5 these these DT cord-011327-zsoc4wec 38 6 many many JJ cord-011327-zsoc4wec 38 7 dilemmas dilemma NNS cord-011327-zsoc4wec 38 8 ; ; , cord-011327-zsoc4wec 38 9 endotracheal endotracheal JJ cord-011327-zsoc4wec 38 10 intubation intubation NN cord-011327-zsoc4wec 38 11 due due IN cord-011327-zsoc4wec 38 12 to to IN cord-011327-zsoc4wec 38 13 an an DT cord-011327-zsoc4wec 38 14 altered altered JJ cord-011327-zsoc4wec 38 15 level level NN cord-011327-zsoc4wec 38 16 of of IN cord-011327-zsoc4wec 38 17 consciousness consciousness NN cord-011327-zsoc4wec 38 18 , , , cord-011327-zsoc4wec 38 19 chest chest NN cord-011327-zsoc4wec 38 20 drain drain NN cord-011327-zsoc4wec 38 21 insertion insertion NN cord-011327-zsoc4wec 38 22 and and CC cord-011327-zsoc4wec 38 23 insertion insertion NN cord-011327-zsoc4wec 38 24 / / SYM cord-011327-zsoc4wec 38 25 maintenance maintenance NN cord-011327-zsoc4wec 38 26 of of IN cord-011327-zsoc4wec 38 27 an an DT cord-011327-zsoc4wec 38 28 intracranial intracranial JJ cord-011327-zsoc4wec 38 29 ventricular ventricular JJ cord-011327-zsoc4wec 38 30 drain drain NN cord-011327-zsoc4wec 38 31 . . . cord-011327-zsoc4wec 39 1 Endotracheal endotracheal JJ cord-011327-zsoc4wec 39 2 intubation intubation NN cord-011327-zsoc4wec 39 3 : : : cord-011327-zsoc4wec 40 1 Prophylactic prophylactic JJ cord-011327-zsoc4wec 40 2 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 40 3 treatment treatment NN cord-011327-zsoc4wec 40 4 following follow VBG cord-011327-zsoc4wec 40 5 endotracheal endotracheal NN cord-011327-zsoc4wec 40 6 intubation intubation NN cord-011327-zsoc4wec 40 7 of of IN cord-011327-zsoc4wec 40 8 patients patient NNS cord-011327-zsoc4wec 40 9 with with IN cord-011327-zsoc4wec 40 10 an an DT cord-011327-zsoc4wec 40 11 altered altered JJ cord-011327-zsoc4wec 40 12 level level NN cord-011327-zsoc4wec 40 13 of of IN cord-011327-zsoc4wec 40 14 consciousness consciousness NN cord-011327-zsoc4wec 40 15 is be VBZ cord-011327-zsoc4wec 40 16 not not RB cord-011327-zsoc4wec 40 17 recommended recommend VBN cord-011327-zsoc4wec 40 18 in in IN cord-011327-zsoc4wec 40 19 most most JJS cord-011327-zsoc4wec 40 20 guidelines guideline NNS cord-011327-zsoc4wec 40 21 for for IN cord-011327-zsoc4wec 40 22 prevention prevention NN cord-011327-zsoc4wec 40 23 of of IN cord-011327-zsoc4wec 40 24 healthcare healthcare NN cord-011327-zsoc4wec 40 25 - - HYPH cord-011327-zsoc4wec 40 26 associated associate VBN cord-011327-zsoc4wec 40 27 pneumonia pneumonia NN cord-011327-zsoc4wec 40 28 [ [ -LRB- cord-011327-zsoc4wec 40 29 20 20 CD cord-011327-zsoc4wec 40 30 , , , cord-011327-zsoc4wec 40 31 21 21 CD cord-011327-zsoc4wec 40 32 ] ] -RRB- cord-011327-zsoc4wec 40 33 . . . cord-011327-zsoc4wec 41 1 However however RB cord-011327-zsoc4wec 41 2 , , , cord-011327-zsoc4wec 41 3 French french JJ cord-011327-zsoc4wec 41 4 guidelines guideline NNS cord-011327-zsoc4wec 41 5 for for IN cord-011327-zsoc4wec 41 6 the the DT cord-011327-zsoc4wec 41 7 prevention prevention NN cord-011327-zsoc4wec 41 8 , , , cord-011327-zsoc4wec 41 9 diagnosis diagnosis NN cord-011327-zsoc4wec 41 10 and and CC cord-011327-zsoc4wec 41 11 treatment treatment NN cord-011327-zsoc4wec 41 12 of of IN cord-011327-zsoc4wec 41 13 hospital hospital NN cord-011327-zsoc4wec 41 14 - - HYPH cord-011327-zsoc4wec 41 15 acquired acquire VBN cord-011327-zsoc4wec 41 16 pneumonia pneumonia NN cord-011327-zsoc4wec 41 17 in in IN cord-011327-zsoc4wec 41 18 ICU ICU NNP cord-011327-zsoc4wec 41 19 suggest suggest VBP cord-011327-zsoc4wec 41 20 consideration consideration NN cord-011327-zsoc4wec 41 21 of of IN cord-011327-zsoc4wec 41 22 selective selective JJ cord-011327-zsoc4wec 41 23 digestive digestive JJ cord-011327-zsoc4wec 41 24 decontamination decontamination NN cord-011327-zsoc4wec 41 25 with with IN cord-011327-zsoc4wec 41 26 both both CC cord-011327-zsoc4wec 41 27 topical topical JJ cord-011327-zsoc4wec 41 28 and and CC cord-011327-zsoc4wec 41 29 systemic systemic JJ cord-011327-zsoc4wec 41 30 antibiotics antibiotic NNS cord-011327-zsoc4wec 41 31 ( ( -LRB- cord-011327-zsoc4wec 41 32 for for IN cord-011327-zsoc4wec 41 33 a a DT cord-011327-zsoc4wec 41 34 maximum maximum NN cord-011327-zsoc4wec 41 35 of of IN cord-011327-zsoc4wec 41 36 96 96 CD cord-011327-zsoc4wec 41 37 h h NN cord-011327-zsoc4wec 41 38 ) ) -RRB- cord-011327-zsoc4wec 41 39 to to TO cord-011327-zsoc4wec 41 40 decrease decrease VB cord-011327-zsoc4wec 41 41 the the DT cord-011327-zsoc4wec 41 42 rate rate NN cord-011327-zsoc4wec 41 43 of of IN cord-011327-zsoc4wec 41 44 pneumonia pneumonia NN cord-011327-zsoc4wec 41 45 immediately immediately RB cord-011327-zsoc4wec 41 46 after after IN cord-011327-zsoc4wec 41 47 urgent urgent JJ cord-011327-zsoc4wec 41 48 intubation intubation NN cord-011327-zsoc4wec 41 49 based base VBN cord-011327-zsoc4wec 41 50 on on IN cord-011327-zsoc4wec 41 51 indirect indirect JJ cord-011327-zsoc4wec 41 52 evidence evidence NN cord-011327-zsoc4wec 41 53 from from IN cord-011327-zsoc4wec 41 54 several several JJ cord-011327-zsoc4wec 41 55 studies study NNS cord-011327-zsoc4wec 41 56 [ [ -LRB- cord-011327-zsoc4wec 41 57 22 22 CD cord-011327-zsoc4wec 41 58 ] ] -RRB- cord-011327-zsoc4wec 41 59 . . . cord-011327-zsoc4wec 42 1 Sirvent Sirvent NNP cord-011327-zsoc4wec 42 2 et et NNP cord-011327-zsoc4wec 42 3 al al NNP cord-011327-zsoc4wec 42 4 . . . cord-011327-zsoc4wec 43 1 randomised randomised JJ cord-011327-zsoc4wec 43 2 100 100 CD cord-011327-zsoc4wec 43 3 comatose comatose JJ cord-011327-zsoc4wec 43 4 patients patient NNS cord-011327-zsoc4wec 43 5 undergoing undergo VBG cord-011327-zsoc4wec 43 6 intubation intubation NN cord-011327-zsoc4wec 43 7 to to IN cord-011327-zsoc4wec 43 8 2 2 CD cord-011327-zsoc4wec 43 9 doses dose NNS cord-011327-zsoc4wec 43 10 of of IN cord-011327-zsoc4wec 43 11 cefuroxime cefuroxime NNP cord-011327-zsoc4wec 43 12 versus versus IN cord-011327-zsoc4wec 43 13 no no DT cord-011327-zsoc4wec 43 14 treatment treatment NN cord-011327-zsoc4wec 43 15 . . . cord-011327-zsoc4wec 44 1 Patients patient NNS cord-011327-zsoc4wec 44 2 receiving receive VBG cord-011327-zsoc4wec 44 3 cefuroxime cefuroxime NNP cord-011327-zsoc4wec 44 4 had have VBD cord-011327-zsoc4wec 44 5 a a DT cord-011327-zsoc4wec 44 6 lower low JJR cord-011327-zsoc4wec 44 7 rate rate NN cord-011327-zsoc4wec 44 8 of of IN cord-011327-zsoc4wec 44 9 ventilator ventilator NN cord-011327-zsoc4wec 44 10 - - HYPH cord-011327-zsoc4wec 44 11 associated associate VBN cord-011327-zsoc4wec 44 12 pneumonia pneumonia NN cord-011327-zsoc4wec 44 13 ( ( -LRB- cord-011327-zsoc4wec 44 14 VAP VAP NNP cord-011327-zsoc4wec 44 15 ) ) -RRB- cord-011327-zsoc4wec 44 16 briefer briefer NNP cord-011327-zsoc4wec 44 17 hospital hospital NN cord-011327-zsoc4wec 44 18 and and CC cord-011327-zsoc4wec 44 19 ICU ICU NNP cord-011327-zsoc4wec 44 20 length length NN cord-011327-zsoc4wec 44 21 of of IN cord-011327-zsoc4wec 44 22 stay stay NN cord-011327-zsoc4wec 44 23 [ [ -LRB- cord-011327-zsoc4wec 44 24 23 23 CD cord-011327-zsoc4wec 44 25 ] ] -RRB- cord-011327-zsoc4wec 44 26 . . . cord-011327-zsoc4wec 45 1 Aquarolo Aquarolo NNP cord-011327-zsoc4wec 45 2 et et NNP cord-011327-zsoc4wec 45 3 al al NNP cord-011327-zsoc4wec 45 4 . . . cord-011327-zsoc4wec 46 1 randomised randomised JJ cord-011327-zsoc4wec 46 2 38 38 CD cord-011327-zsoc4wec 46 3 comatose comatose JJ cord-011327-zsoc4wec 46 4 mechanically mechanically RB cord-011327-zsoc4wec 46 5 ventilated ventilate VBD cord-011327-zsoc4wec 46 6 patients patient NNS cord-011327-zsoc4wec 46 7 with with IN cord-011327-zsoc4wec 46 8 brain brain NN cord-011327-zsoc4wec 46 9 injury injury NN cord-011327-zsoc4wec 46 10 to to IN cord-011327-zsoc4wec 46 11 ampicillin ampicillin NN cord-011327-zsoc4wec 46 12 - - HYPH cord-011327-zsoc4wec 46 13 sulbactam sulbactam NNP cord-011327-zsoc4wec 46 14 prophylaxis prophylaxis NN cord-011327-zsoc4wec 46 15 plus plus CC cord-011327-zsoc4wec 46 16 standard standard JJ cord-011327-zsoc4wec 46 17 treatment treatment NN cord-011327-zsoc4wec 46 18 or or CC cord-011327-zsoc4wec 46 19 standard standard JJ cord-011327-zsoc4wec 46 20 treatment treatment NN cord-011327-zsoc4wec 46 21 alone alone RB cord-011327-zsoc4wec 46 22 and and CC cord-011327-zsoc4wec 46 23 showed show VBD cord-011327-zsoc4wec 46 24 that that IN cord-011327-zsoc4wec 46 25 antibiotic antibiotic JJ cord-011327-zsoc4wec 46 26 prophylaxis prophylaxis NN cord-011327-zsoc4wec 46 27 reduced reduce VBD cord-011327-zsoc4wec 46 28 the the DT cord-011327-zsoc4wec 46 29 occurrence occurrence NN cord-011327-zsoc4wec 46 30 of of IN cord-011327-zsoc4wec 46 31 early early JJ cord-011327-zsoc4wec 46 32 - - HYPH cord-011327-zsoc4wec 46 33 onset onset NN cord-011327-zsoc4wec 46 34 pneumonia pneumonia NN cord-011327-zsoc4wec 46 35 ( ( -LRB- cord-011327-zsoc4wec 46 36 21 21 CD cord-011327-zsoc4wec 46 37 % % NN cord-011327-zsoc4wec 46 38 vs vs IN cord-011327-zsoc4wec 46 39 58 58 CD cord-011327-zsoc4wec 46 40 % % NN cord-011327-zsoc4wec 46 41 , , , cord-011327-zsoc4wec 46 42 P p NN cord-011327-zsoc4wec 46 43 = = SYM cord-011327-zsoc4wec 46 44 0.022 0.022 CD cord-011327-zsoc4wec 46 45 ) ) -RRB- cord-011327-zsoc4wec 46 46 . . . cord-011327-zsoc4wec 47 1 [ [ -LRB- cord-011327-zsoc4wec 47 2 24 24 CD cord-011327-zsoc4wec 47 3 ] ] -RRB- cord-011327-zsoc4wec 47 4 . . . cord-011327-zsoc4wec 48 1 Similar similar JJ cord-011327-zsoc4wec 48 2 findings finding NNS cord-011327-zsoc4wec 48 3 have have VBP cord-011327-zsoc4wec 48 4 been be VBN cord-011327-zsoc4wec 48 5 reported report VBN cord-011327-zsoc4wec 48 6 in in IN cord-011327-zsoc4wec 48 7 other other JJ cord-011327-zsoc4wec 48 8 ICU ICU NNP cord-011327-zsoc4wec 48 9 settings setting NNS cord-011327-zsoc4wec 48 10 [ [ -LRB- cord-011327-zsoc4wec 48 11 25 25 CD cord-011327-zsoc4wec 48 12 ] ] -RRB- cord-011327-zsoc4wec 48 13 . . . cord-011327-zsoc4wec 49 1 More more RBR cord-011327-zsoc4wec 49 2 recently recently RB cord-011327-zsoc4wec 49 3 , , , cord-011327-zsoc4wec 49 4 a a DT cord-011327-zsoc4wec 49 5 systematic systematic JJ cord-011327-zsoc4wec 49 6 Table table NN cord-011327-zsoc4wec 49 7 1 1 CD cord-011327-zsoc4wec 49 8 Factors factor NNS cord-011327-zsoc4wec 49 9 that that WDT cord-011327-zsoc4wec 49 10 should should MD cord-011327-zsoc4wec 49 11 be be VB cord-011327-zsoc4wec 49 12 taken take VBN cord-011327-zsoc4wec 49 13 into into IN cord-011327-zsoc4wec 49 14 account account NN cord-011327-zsoc4wec 49 15 when when WRB cord-011327-zsoc4wec 49 16 determining determine VBG cord-011327-zsoc4wec 49 17 the the DT cord-011327-zsoc4wec 49 18 choice choice NN cord-011327-zsoc4wec 49 19 of of IN cord-011327-zsoc4wec 49 20 an an DT cord-011327-zsoc4wec 49 21 antibiotic antibiotic JJ cord-011327-zsoc4wec 49 22 review review NN cord-011327-zsoc4wec 49 23 and and CC cord-011327-zsoc4wec 49 24 meta meta NNP cord-011327-zsoc4wec 49 25 - - HYPH cord-011327-zsoc4wec 49 26 analysis analysis NN cord-011327-zsoc4wec 49 27 reported report VBD cord-011327-zsoc4wec 49 28 that that IN cord-011327-zsoc4wec 49 29 systemic systemic JJ cord-011327-zsoc4wec 49 30 administration administration NN cord-011327-zsoc4wec 49 31 of of IN cord-011327-zsoc4wec 49 32 antibiotics antibiotic NNS cord-011327-zsoc4wec 49 33 for for IN cord-011327-zsoc4wec 49 34 no no DT cord-011327-zsoc4wec 49 35 more more JJR cord-011327-zsoc4wec 49 36 than than IN cord-011327-zsoc4wec 49 37 24 24 CD cord-011327-zsoc4wec 49 38 h h NN cord-011327-zsoc4wec 49 39 following follow VBG cord-011327-zsoc4wec 49 40 intubation intubation NN cord-011327-zsoc4wec 49 41 did do VBD cord-011327-zsoc4wec 49 42 not not RB cord-011327-zsoc4wec 49 43 affect affect VB cord-011327-zsoc4wec 49 44 mortality mortality NN cord-011327-zsoc4wec 49 45 [ [ -LRB- cord-011327-zsoc4wec 49 46 relative relative JJ cord-011327-zsoc4wec 49 47 risk risk NN cord-011327-zsoc4wec 49 48 ( ( -LRB- cord-011327-zsoc4wec 49 49 RR RR NNP cord-011327-zsoc4wec 49 50 ) ) -RRB- cord-011327-zsoc4wec 49 51 1.03 1.03 CD cord-011327-zsoc4wec 49 52 ; ; : cord-011327-zsoc4wec 49 53 95 95 CD cord-011327-zsoc4wec 49 54 % % NN cord-011327-zsoc4wec 49 55 confidence confidence NN cord-011327-zsoc4wec 49 56 interval interval NN cord-011327-zsoc4wec 49 57 ( ( -LRB- cord-011327-zsoc4wec 49 58 CI ci NN cord-011327-zsoc4wec 49 59 ) ) -RRB- cord-011327-zsoc4wec 50 1 0.7 0.7 CD cord-011327-zsoc4wec 50 2 - - SYM cord-011327-zsoc4wec 50 3 1.53 1.53 CD cord-011327-zsoc4wec 50 4 ] ] -RRB- cord-011327-zsoc4wec 50 5 , , . cord-011327-zsoc4wec 51 1 but but CC cord-011327-zsoc4wec 51 2 was be VBD cord-011327-zsoc4wec 51 3 associated associate VBN cord-011327-zsoc4wec 51 4 with with IN cord-011327-zsoc4wec 51 5 a a DT cord-011327-zsoc4wec 51 6 reduction reduction NN cord-011327-zsoc4wec 51 7 in in IN cord-011327-zsoc4wec 51 8 the the DT cord-011327-zsoc4wec 51 9 incidence incidence NN cord-011327-zsoc4wec 51 10 of of IN cord-011327-zsoc4wec 51 11 early early JJ cord-011327-zsoc4wec 51 12 - - HYPH cord-011327-zsoc4wec 51 13 onset onset NN cord-011327-zsoc4wec 51 14 VAP VAP NNP cord-011327-zsoc4wec 51 15 and and CC cord-011327-zsoc4wec 51 16 briefer brief JJR cord-011327-zsoc4wec 51 17 ICU ICU NNP cord-011327-zsoc4wec 51 18 lengths length NNS cord-011327-zsoc4wec 51 19 of of IN cord-011327-zsoc4wec 51 20 stay stay VB cord-011327-zsoc4wec 51 21 [ [ -LRB- cord-011327-zsoc4wec 51 22 26 26 CD cord-011327-zsoc4wec 51 23 ] ] -RRB- cord-011327-zsoc4wec 51 24 . . . cord-011327-zsoc4wec 52 1 The the DT cord-011327-zsoc4wec 52 2 literature literature NN cord-011327-zsoc4wec 52 3 does do VBZ cord-011327-zsoc4wec 52 4 seem seem VB cord-011327-zsoc4wec 52 5 to to TO cord-011327-zsoc4wec 52 6 suggest suggest VB cord-011327-zsoc4wec 52 7 that that IN cord-011327-zsoc4wec 52 8 a a DT cord-011327-zsoc4wec 52 9 short short JJ cord-011327-zsoc4wec 52 10 course course NN cord-011327-zsoc4wec 52 11 of of IN cord-011327-zsoc4wec 52 12 prophylactic prophylactic JJ cord-011327-zsoc4wec 52 13 antibiotic antibiotic JJ cord-011327-zsoc4wec 52 14 following follow VBG cord-011327-zsoc4wec 52 15 intubation intubation NN cord-011327-zsoc4wec 52 16 may may MD cord-011327-zsoc4wec 52 17 confer confer VB cord-011327-zsoc4wec 52 18 some some DT cord-011327-zsoc4wec 52 19 benefit benefit NN cord-011327-zsoc4wec 52 20 . . . cord-011327-zsoc4wec 53 1 However however RB cord-011327-zsoc4wec 53 2 , , , cord-011327-zsoc4wec 53 3 this this DT cord-011327-zsoc4wec 53 4 finding finding NN cord-011327-zsoc4wec 53 5 is be VBZ cord-011327-zsoc4wec 53 6 inconsistent inconsistent JJ cord-011327-zsoc4wec 53 7 and and CC cord-011327-zsoc4wec 53 8 if if IN cord-011327-zsoc4wec 53 9 it -PRON- PRP cord-011327-zsoc4wec 53 10 does do VBZ cord-011327-zsoc4wec 53 11 exist exist VB cord-011327-zsoc4wec 53 12 , , , cord-011327-zsoc4wec 53 13 the the DT cord-011327-zsoc4wec 53 14 strength strength NN cord-011327-zsoc4wec 53 15 of of IN cord-011327-zsoc4wec 53 16 this this DT cord-011327-zsoc4wec 53 17 effect effect NN cord-011327-zsoc4wec 53 18 remains remain VBZ cord-011327-zsoc4wec 53 19 to to TO cord-011327-zsoc4wec 53 20 be be VB cord-011327-zsoc4wec 53 21 determined determine VBN cord-011327-zsoc4wec 53 22 . . . cord-011327-zsoc4wec 54 1 At at IN cord-011327-zsoc4wec 54 2 this this DT cord-011327-zsoc4wec 54 3 time time NN cord-011327-zsoc4wec 54 4 , , , cord-011327-zsoc4wec 54 5 the the DT cord-011327-zsoc4wec 54 6 results result NNS cord-011327-zsoc4wec 54 7 of of IN cord-011327-zsoc4wec 54 8 a a DT cord-011327-zsoc4wec 54 9 trial trial NN cord-011327-zsoc4wec 54 10 planned plan VBN cord-011327-zsoc4wec 54 11 to to TO cord-011327-zsoc4wec 54 12 include include VB cord-011327-zsoc4wec 54 13 320 320 CD cord-011327-zsoc4wec 54 14 patients patient NNS cord-011327-zsoc4wec 54 15 with with IN cord-011327-zsoc4wec 54 16 brain brain NN cord-011327-zsoc4wec 54 17 injury injury NN cord-011327-zsoc4wec 54 18 randomised randomised JJ cord-011327-zsoc4wec 54 19 to to IN cord-011327-zsoc4wec 54 20 either either DT cord-011327-zsoc4wec 54 21 one one CD cord-011327-zsoc4wec 54 22 dose dose NN cord-011327-zsoc4wec 54 23 of of IN cord-011327-zsoc4wec 54 24 ceftriaxone ceftriaxone NN cord-011327-zsoc4wec 54 25 within within IN cord-011327-zsoc4wec 54 26 12 12 CD cord-011327-zsoc4wec 54 27 h h NN cord-011327-zsoc4wec 54 28 of of IN cord-011327-zsoc4wec 54 29 intubation intubation NN cord-011327-zsoc4wec 54 30 or or CC cord-011327-zsoc4wec 54 31 placebo placebo NN cord-011327-zsoc4wec 54 32 are be VBP cord-011327-zsoc4wec 54 33 expected expect VBN cord-011327-zsoc4wec 54 34 [ [ -LRB- cord-011327-zsoc4wec 54 35 27 27 CD cord-011327-zsoc4wec 54 36 ] ] -RRB- cord-011327-zsoc4wec 54 37 . . . cord-011327-zsoc4wec 55 1 Additional additional JJ cord-011327-zsoc4wec 55 2 multicentre multicentre NNP cord-011327-zsoc4wec 55 3 prospective prospective JJ cord-011327-zsoc4wec 55 4 studies study NNS cord-011327-zsoc4wec 55 5 are be VBP cord-011327-zsoc4wec 55 6 required require VBN cord-011327-zsoc4wec 55 7 . . . cord-011327-zsoc4wec 56 1 Chest chest NN cord-011327-zsoc4wec 56 2 drains drain NNS cord-011327-zsoc4wec 57 1 : : : cord-011327-zsoc4wec 57 2 Placement placement NN cord-011327-zsoc4wec 57 3 of of IN cord-011327-zsoc4wec 57 4 a a DT cord-011327-zsoc4wec 57 5 chest chest NN cord-011327-zsoc4wec 57 6 drain drain NN cord-011327-zsoc4wec 57 7 may may MD cord-011327-zsoc4wec 57 8 theoretically theoretically RB cord-011327-zsoc4wec 57 9 be be VB cord-011327-zsoc4wec 57 10 accompanied accompany VBN cord-011327-zsoc4wec 57 11 by by IN cord-011327-zsoc4wec 57 12 bacteraemia bacteraemia NNP cord-011327-zsoc4wec 57 13 , , , cord-011327-zsoc4wec 57 14 particularly particularly RB cord-011327-zsoc4wec 57 15 if if IN cord-011327-zsoc4wec 57 16 placed place VBN cord-011327-zsoc4wec 57 17 in in IN cord-011327-zsoc4wec 57 18 a a DT cord-011327-zsoc4wec 57 19 source source NN cord-011327-zsoc4wec 57 20 of of IN cord-011327-zsoc4wec 57 21 infection infection NN cord-011327-zsoc4wec 57 22 or or CC cord-011327-zsoc4wec 57 23 nearby nearby RB cord-011327-zsoc4wec 57 24 already already RB cord-011327-zsoc4wec 57 25 infected infect VBN cord-011327-zsoc4wec 57 26 lung lung NN cord-011327-zsoc4wec 57 27 . . . cord-011327-zsoc4wec 58 1 Alternatively alternatively RB cord-011327-zsoc4wec 58 2 , , , cord-011327-zsoc4wec 58 3 the the DT cord-011327-zsoc4wec 58 4 chest chest NN cord-011327-zsoc4wec 58 5 drain drain NN cord-011327-zsoc4wec 58 6 is be VBZ cord-011327-zsoc4wec 58 7 a a DT cord-011327-zsoc4wec 58 8 foreign foreign JJ cord-011327-zsoc4wec 58 9 body body NN cord-011327-zsoc4wec 58 10 which which WDT cord-011327-zsoc4wec 58 11 could could MD cord-011327-zsoc4wec 58 12 theoretically theoretically RB cord-011327-zsoc4wec 58 13 become become VB cord-011327-zsoc4wec 58 14 a a DT cord-011327-zsoc4wec 58 15 source source NN cord-011327-zsoc4wec 58 16 of of IN cord-011327-zsoc4wec 58 17 ascending ascend VBG cord-011327-zsoc4wec 58 18 infection infection NN cord-011327-zsoc4wec 58 19 ( ( -LRB- cord-011327-zsoc4wec 58 20 i.e. i.e. FW cord-011327-zsoc4wec 58 21 pneumonia pneumonia NN cord-011327-zsoc4wec 58 22 , , , cord-011327-zsoc4wec 58 23 empyema empyema NNP cord-011327-zsoc4wec 58 24 ) ) -RRB- cord-011327-zsoc4wec 58 25 . . . cord-011327-zsoc4wec 59 1 There there EX cord-011327-zsoc4wec 59 2 are be VBP cord-011327-zsoc4wec 59 3 no no DT cord-011327-zsoc4wec 59 4 recommendations recommendation NNS cord-011327-zsoc4wec 59 5 regarding regard VBG cord-011327-zsoc4wec 59 6 antibiotic antibiotic JJ cord-011327-zsoc4wec 59 7 prophylaxis prophylaxis NN cord-011327-zsoc4wec 59 8 in in IN cord-011327-zsoc4wec 59 9 ICU ICU NNP cord-011327-zsoc4wec 59 10 patients patient NNS cord-011327-zsoc4wec 59 11 requiring require VBG cord-011327-zsoc4wec 59 12 chest chest NN cord-011327-zsoc4wec 59 13 drain drain NN cord-011327-zsoc4wec 59 14 insertion insertion NN cord-011327-zsoc4wec 59 15 . . . cord-011327-zsoc4wec 60 1 A a DT cord-011327-zsoc4wec 60 2 metaanalysis metaanalysis NN cord-011327-zsoc4wec 60 3 of of IN cord-011327-zsoc4wec 60 4 studies study NNS cord-011327-zsoc4wec 60 5 focused focus VBN cord-011327-zsoc4wec 60 6 on on IN cord-011327-zsoc4wec 60 7 antibiotic antibiotic JJ cord-011327-zsoc4wec 60 8 prophylaxis prophylaxis NN cord-011327-zsoc4wec 60 9 for for IN cord-011327-zsoc4wec 60 10 chest chest NN cord-011327-zsoc4wec 60 11 drain drain NN cord-011327-zsoc4wec 60 12 insertion insertion NN cord-011327-zsoc4wec 60 13 in in IN cord-011327-zsoc4wec 60 14 non non JJ cord-011327-zsoc4wec 60 15 - - JJ cord-011327-zsoc4wec 60 16 ICU icu JJ cord-011327-zsoc4wec 60 17 patients patient NNS cord-011327-zsoc4wec 60 18 ( ( -LRB- cord-011327-zsoc4wec 60 19 i.e. i.e. FW cord-011327-zsoc4wec 60 20 thoracic thoracic JJ cord-011327-zsoc4wec 60 21 injury injury NN cord-011327-zsoc4wec 60 22 ) ) -RRB- cord-011327-zsoc4wec 60 23 , , , cord-011327-zsoc4wec 60 24 concluded conclude VBD cord-011327-zsoc4wec 60 25 that that IN cord-011327-zsoc4wec 60 26 treatment treatment NN cord-011327-zsoc4wec 60 27 after after IN cord-011327-zsoc4wec 60 28 chest chest NN cord-011327-zsoc4wec 60 29 drain drain NN cord-011327-zsoc4wec 60 30 insertion insertion NN cord-011327-zsoc4wec 60 31 was be VBD cord-011327-zsoc4wec 60 32 significantly significantly RB cord-011327-zsoc4wec 60 33 associated associate VBN cord-011327-zsoc4wec 60 34 with with IN cord-011327-zsoc4wec 60 35 a a DT cord-011327-zsoc4wec 60 36 reduced reduced JJ cord-011327-zsoc4wec 60 37 risk risk NN cord-011327-zsoc4wec 60 38 of of IN cord-011327-zsoc4wec 60 39 empyema empyema NNP cord-011327-zsoc4wec 60 40 ( ( -LRB- cord-011327-zsoc4wec 60 41 RR RR NNP cord-011327-zsoc4wec 60 42 0.25 0.25 CD cord-011327-zsoc4wec 60 43 ; ; : cord-011327-zsoc4wec 60 44 95 95 CD cord-011327-zsoc4wec 60 45 % % NN cord-011327-zsoc4wec 60 46 CI CI NNP cord-011327-zsoc4wec 60 47 0.13 0.13 CD cord-011327-zsoc4wec 60 48 - - HYPH cord-011327-zsoc4wec 60 49 0.49 0.49 CD cord-011327-zsoc4wec 60 50 ) ) -RRB- cord-011327-zsoc4wec 60 51 and and CC cord-011327-zsoc4wec 60 52 pneumonia pneumonia NN cord-011327-zsoc4wec 60 53 ( ( -LRB- cord-011327-zsoc4wec 60 54 RR rr NN cord-011327-zsoc4wec 60 55 0.41 0.41 CD cord-011327-zsoc4wec 60 56 ; ; : cord-011327-zsoc4wec 60 57 95 95 CD cord-011327-zsoc4wec 60 58 % % NN cord-011327-zsoc4wec 60 59 CI CI NNP cord-011327-zsoc4wec 60 60 0.24 0.24 CD cord-011327-zsoc4wec 60 61 - - HYPH cord-011327-zsoc4wec 60 62 0.71 0.71 CD cord-011327-zsoc4wec 60 63 ) ) -RRB- cord-011327-zsoc4wec 60 64 when when WRB cord-011327-zsoc4wec 60 65 compared compare VBN cord-011327-zsoc4wec 60 66 with with IN cord-011327-zsoc4wec 60 67 placebo placebo NN cord-011327-zsoc4wec 60 68 alone alone RB cord-011327-zsoc4wec 60 69 [ [ -LRB- cord-011327-zsoc4wec 60 70 28 28 CD cord-011327-zsoc4wec 60 71 ] ] -RRB- cord-011327-zsoc4wec 60 72 . . . cord-011327-zsoc4wec 61 1 This this DT cord-011327-zsoc4wec 61 2 study study NN cord-011327-zsoc4wec 61 3 is be VBZ cord-011327-zsoc4wec 61 4 often often RB cord-011327-zsoc4wec 61 5 quoted quote VBN cord-011327-zsoc4wec 61 6 as as IN cord-011327-zsoc4wec 61 7 a a DT cord-011327-zsoc4wec 61 8 reason reason NN cord-011327-zsoc4wec 61 9 to to TO cord-011327-zsoc4wec 61 10 provide provide VB cord-011327-zsoc4wec 61 11 prophylactic prophylactic JJ cord-011327-zsoc4wec 61 12 antibiotic antibiotic JJ cord-011327-zsoc4wec 61 13 treatment treatment NN cord-011327-zsoc4wec 61 14 to to IN cord-011327-zsoc4wec 61 15 patients patient NNS cord-011327-zsoc4wec 61 16 who who WP cord-011327-zsoc4wec 61 17 undergo undergo VBP cord-011327-zsoc4wec 61 18 chest chest NN cord-011327-zsoc4wec 61 19 drain drain NN cord-011327-zsoc4wec 61 20 insertion insertion NN cord-011327-zsoc4wec 61 21 or or CC cord-011327-zsoc4wec 61 22 who who WP cord-011327-zsoc4wec 61 23 have have VBP cord-011327-zsoc4wec 61 24 a a DT cord-011327-zsoc4wec 61 25 chest chest NN cord-011327-zsoc4wec 61 26 drain drain NN cord-011327-zsoc4wec 61 27 in in IN cord-011327-zsoc4wec 61 28 situ situ NN cord-011327-zsoc4wec 61 29 . . . cord-011327-zsoc4wec 62 1 However however RB cord-011327-zsoc4wec 62 2 , , , cord-011327-zsoc4wec 62 3 a a DT cord-011327-zsoc4wec 62 4 trauma trauma NN cord-011327-zsoc4wec 62 5 setting set VBG cord-011327-zsoc4wec 62 6 may may MD cord-011327-zsoc4wec 62 7 differ differ VB cord-011327-zsoc4wec 62 8 in in IN cord-011327-zsoc4wec 62 9 both both CC cord-011327-zsoc4wec 62 10 urgency urgency NN cord-011327-zsoc4wec 62 11 and and CC cord-011327-zsoc4wec 62 12 hygiene hygiene NN cord-011327-zsoc4wec 62 13 conditions condition NNS cord-011327-zsoc4wec 62 14 , , , cord-011327-zsoc4wec 62 15 and and CC cord-011327-zsoc4wec 62 16 young young JJ cord-011327-zsoc4wec 62 17 trauma trauma NN cord-011327-zsoc4wec 62 18 patients patient NNS cord-011327-zsoc4wec 62 19 are be VBP cord-011327-zsoc4wec 62 20 very very RB cord-011327-zsoc4wec 62 21 different different JJ cord-011327-zsoc4wec 62 22 from from IN cord-011327-zsoc4wec 62 23 most most JJS cord-011327-zsoc4wec 62 24 surgical surgical JJ cord-011327-zsoc4wec 62 25 patients patient NNS cord-011327-zsoc4wec 62 26 who who WP cord-011327-zsoc4wec 62 27 are be VBP cord-011327-zsoc4wec 62 28 older old JJR cord-011327-zsoc4wec 62 29 and and CC cord-011327-zsoc4wec 62 30 comorbid comorbid JJ cord-011327-zsoc4wec 62 31 , , , cord-011327-zsoc4wec 62 32 thus thus RB cord-011327-zsoc4wec 62 33 extrapolation extrapolation NN cord-011327-zsoc4wec 62 34 may may MD cord-011327-zsoc4wec 62 35 be be VB cord-011327-zsoc4wec 62 36 inappropriate inappropriate JJ cord-011327-zsoc4wec 62 37 . . . cord-011327-zsoc4wec 63 1 Furthermore furthermore RB cord-011327-zsoc4wec 63 2 , , , cord-011327-zsoc4wec 63 3 the the DT cord-011327-zsoc4wec 63 4 length length NN cord-011327-zsoc4wec 63 5 of of IN cord-011327-zsoc4wec 63 6 required require VBN cord-011327-zsoc4wec 63 7 prophylactic prophylactic JJ cord-011327-zsoc4wec 63 8 treatment treatment NN cord-011327-zsoc4wec 63 9 ( ( -LRB- cord-011327-zsoc4wec 63 10 if if IN cord-011327-zsoc4wec 63 11 any any DT cord-011327-zsoc4wec 63 12 ) ) -RRB- cord-011327-zsoc4wec 63 13 also also RB cord-011327-zsoc4wec 63 14 remains remain VBZ cord-011327-zsoc4wec 63 15 unclear unclear JJ cord-011327-zsoc4wec 63 16 . . . cord-011327-zsoc4wec 64 1 This this DT cord-011327-zsoc4wec 64 2 question question NN cord-011327-zsoc4wec 64 3 is be VBZ cord-011327-zsoc4wec 64 4 particularly particularly RB cord-011327-zsoc4wec 64 5 pertinent pertinent JJ cord-011327-zsoc4wec 64 6 in in IN cord-011327-zsoc4wec 64 7 patients patient NNS cord-011327-zsoc4wec 64 8 that that WDT cord-011327-zsoc4wec 64 9 undergo undergo VBP cord-011327-zsoc4wec 64 10 drain drain NN cord-011327-zsoc4wec 64 11 insertion insertion NN cord-011327-zsoc4wec 64 12 in in IN cord-011327-zsoc4wec 64 13 sterile sterile JJ cord-011327-zsoc4wec 64 14 conditions condition NNS cord-011327-zsoc4wec 64 15 ( ( -LRB- cord-011327-zsoc4wec 64 16 e.g. e.g. RB cord-011327-zsoc4wec 64 17 during during IN cord-011327-zsoc4wec 64 18 elective elective JJ cord-011327-zsoc4wec 64 19 thoracic thoracic JJ cord-011327-zsoc4wec 64 20 surgery surgery NN cord-011327-zsoc4wec 64 21 ) ) -RRB- cord-011327-zsoc4wec 64 22 . . . cord-011327-zsoc4wec 65 1 Most Most JJS cord-011327-zsoc4wec 65 2 of of IN cord-011327-zsoc4wec 65 3 these these DT cord-011327-zsoc4wec 65 4 patients patient NNS cord-011327-zsoc4wec 65 5 receive receive VBP cord-011327-zsoc4wec 65 6 antibiotic antibiotic JJ cord-011327-zsoc4wec 65 7 prophylaxis prophylaxis NN cord-011327-zsoc4wec 65 8 before before IN cord-011327-zsoc4wec 65 9 surgery surgery NN cord-011327-zsoc4wec 65 10 in in IN cord-011327-zsoc4wec 65 11 accordance accordance NN cord-011327-zsoc4wec 65 12 with with IN cord-011327-zsoc4wec 65 13 perioperative perioperative JJ cord-011327-zsoc4wec 65 14 guidelines guideline NNS cord-011327-zsoc4wec 65 15 [ [ -LRB- cord-011327-zsoc4wec 65 16 12 12 CD cord-011327-zsoc4wec 65 17 ] ] -RRB- cord-011327-zsoc4wec 65 18 . . . cord-011327-zsoc4wec 66 1 Meta Meta NNP cord-011327-zsoc4wec 66 2 - - HYPH cord-011327-zsoc4wec 66 3 analysis analysis NN cord-011327-zsoc4wec 66 4 of of IN cord-011327-zsoc4wec 66 5 the the DT cord-011327-zsoc4wec 66 6 data datum NNS cord-011327-zsoc4wec 66 7 on on IN cord-011327-zsoc4wec 66 8 this this DT cord-011327-zsoc4wec 66 9 topic topic NN cord-011327-zsoc4wec 66 10 in in IN cord-011327-zsoc4wec 66 11 the the DT cord-011327-zsoc4wec 66 12 literature literature NN cord-011327-zsoc4wec 66 13 suggests suggest VBZ cord-011327-zsoc4wec 66 14 that that IN cord-011327-zsoc4wec 66 15 prolonged prolong VBD cord-011327-zsoc4wec 66 16 postoperative postoperative JJ cord-011327-zsoc4wec 66 17 antibiotic antibiotic JJ cord-011327-zsoc4wec 66 18 prophylaxis prophylaxis NN cord-011327-zsoc4wec 66 19 does do VBZ cord-011327-zsoc4wec 66 20 not not RB cord-011327-zsoc4wec 66 21 reduce reduce VB cord-011327-zsoc4wec 66 22 the the DT cord-011327-zsoc4wec 66 23 number number NN cord-011327-zsoc4wec 66 24 of of IN cord-011327-zsoc4wec 66 25 infectious infectious JJ cord-011327-zsoc4wec 66 26 complications complication NNS cord-011327-zsoc4wec 66 27 related relate VBN cord-011327-zsoc4wec 66 28 to to IN cord-011327-zsoc4wec 66 29 chest chest NN cord-011327-zsoc4wec 66 30 drains drain NNS cord-011327-zsoc4wec 66 31 compared compare VBN cord-011327-zsoc4wec 66 32 with with IN cord-011327-zsoc4wec 66 33 preoperative preoperative JJ cord-011327-zsoc4wec 66 34 prophylaxis prophylaxis NN cord-011327-zsoc4wec 66 35 only only RB cord-011327-zsoc4wec 66 36 [ [ -LRB- cord-011327-zsoc4wec 66 37 29 29 CD cord-011327-zsoc4wec 66 38 ] ] -RRB- cord-011327-zsoc4wec 66 39 . . . cord-011327-zsoc4wec 67 1 Cerebral cerebral JJ cord-011327-zsoc4wec 67 2 intra intra JJ cord-011327-zsoc4wec 67 3 - - JJ cord-011327-zsoc4wec 67 4 ventricular ventricular JJ cord-011327-zsoc4wec 67 5 drains drain NNS cord-011327-zsoc4wec 67 6 - - : cord-011327-zsoc4wec 67 7 Current Current NNP cord-011327-zsoc4wec 67 8 Neurocritical Neurocritical NNP cord-011327-zsoc4wec 67 9 Care Care NNP cord-011327-zsoc4wec 67 10 Society Society NNP cord-011327-zsoc4wec 67 11 recommendations recommendation NNS cord-011327-zsoc4wec 67 12 suggest suggest VBP cord-011327-zsoc4wec 67 13 that that IN cord-011327-zsoc4wec 67 14 one one CD cord-011327-zsoc4wec 67 15 dose dose NN cord-011327-zsoc4wec 67 16 of of IN cord-011327-zsoc4wec 67 17 antimicrobials antimicrobial NNS cord-011327-zsoc4wec 67 18 be be VB cord-011327-zsoc4wec 67 19 administered administer VBN cord-011327-zsoc4wec 67 20 prior prior RB cord-011327-zsoc4wec 67 21 to to IN cord-011327-zsoc4wec 67 22 insertion insertion NN cord-011327-zsoc4wec 67 23 of of IN cord-011327-zsoc4wec 67 24 an an DT cord-011327-zsoc4wec 67 25 external external JJ cord-011327-zsoc4wec 67 26 ventricular ventricular JJ cord-011327-zsoc4wec 67 27 drain drain NN cord-011327-zsoc4wec 67 28 . . . cord-011327-zsoc4wec 68 1 This this DT cord-011327-zsoc4wec 68 2 recommendation recommendation NN cord-011327-zsoc4wec 68 3 is be VBZ cord-011327-zsoc4wec 68 4 based base VBN cord-011327-zsoc4wec 68 5 on on IN cord-011327-zsoc4wec 68 6 a a DT cord-011327-zsoc4wec 68 7 weak weak JJ cord-011327-zsoc4wec 68 8 level level NN cord-011327-zsoc4wec 68 9 of of IN cord-011327-zsoc4wec 68 10 evidence evidence NN cord-011327-zsoc4wec 68 11 [ [ -LRB- cord-011327-zsoc4wec 68 12 30 30 CD cord-011327-zsoc4wec 68 13 ] ] -RRB- cord-011327-zsoc4wec 68 14 . . . cord-011327-zsoc4wec 69 1 In in IN cord-011327-zsoc4wec 69 2 conclusion conclusion NN cord-011327-zsoc4wec 69 3 , , , cord-011327-zsoc4wec 69 4 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 69 5 prophylaxis prophylaxis NN cord-011327-zsoc4wec 69 6 constitutes constitute VBZ cord-011327-zsoc4wec 69 7 a a DT cord-011327-zsoc4wec 69 8 large large JJ cord-011327-zsoc4wec 69 9 part part NN cord-011327-zsoc4wec 69 10 of of IN cord-011327-zsoc4wec 69 11 antibiotic antibiotic JJ cord-011327-zsoc4wec 69 12 prescriptions prescription NNS cord-011327-zsoc4wec 69 13 in in IN cord-011327-zsoc4wec 69 14 the the DT cord-011327-zsoc4wec 69 15 ICU ICU NNP cord-011327-zsoc4wec 69 16 . . . cord-011327-zsoc4wec 70 1 Antimicrobial antimicrobial JJ cord-011327-zsoc4wec 70 2 prophylaxis prophylaxis NN cord-011327-zsoc4wec 70 3 could could MD cord-011327-zsoc4wec 70 4 theoretically theoretically RB cord-011327-zsoc4wec 70 5 prevent prevent VB cord-011327-zsoc4wec 70 6 appearance appearance NN cord-011327-zsoc4wec 70 7 of of IN cord-011327-zsoc4wec 70 8 infectious infectious JJ cord-011327-zsoc4wec 70 9 complications complication NNS cord-011327-zsoc4wec 70 10 in in IN cord-011327-zsoc4wec 70 11 critically critically RB cord-011327-zsoc4wec 70 12 ill ill JJ cord-011327-zsoc4wec 70 13 ICU ICU NNP cord-011327-zsoc4wec 70 14 patients patient NNS cord-011327-zsoc4wec 70 15 that that WDT cord-011327-zsoc4wec 70 16 must must MD cord-011327-zsoc4wec 70 17 undergo undergo VB cord-011327-zsoc4wec 70 18 an an DT cord-011327-zsoc4wec 70 19 invasive invasive JJ cord-011327-zsoc4wec 70 20 procedure procedure NN cord-011327-zsoc4wec 70 21 in in IN cord-011327-zsoc4wec 70 22 the the DT cord-011327-zsoc4wec 70 23 ICU ICU NNP cord-011327-zsoc4wec 70 24 or or CC cord-011327-zsoc4wec 70 25 the the DT cord-011327-zsoc4wec 70 26 OR OR NNP cord-011327-zsoc4wec 70 27 . . . cord-011327-zsoc4wec 71 1 On on IN cord-011327-zsoc4wec 71 2 the the DT cord-011327-zsoc4wec 71 3 other other JJ cord-011327-zsoc4wec 71 4 hand hand NN cord-011327-zsoc4wec 71 5 , , , cord-011327-zsoc4wec 71 6 redundant redundant JJ cord-011327-zsoc4wec 71 7 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 71 8 prophylaxis prophylaxis NN cord-011327-zsoc4wec 71 9 could could MD cord-011327-zsoc4wec 71 10 drive drive VB cord-011327-zsoc4wec 71 11 emergence emergence NN cord-011327-zsoc4wec 71 12 of of IN cord-011327-zsoc4wec 71 13 MDR MDR NNP cord-011327-zsoc4wec 71 14 pathogens pathogen NNS cord-011327-zsoc4wec 71 15 and and CC cord-011327-zsoc4wec 71 16 increase increase VB cord-011327-zsoc4wec 71 17 the the DT cord-011327-zsoc4wec 71 18 rate rate NN cord-011327-zsoc4wec 71 19 of of IN cord-011327-zsoc4wec 71 20 adverse adverse JJ cord-011327-zsoc4wec 71 21 drug drug NN cord-011327-zsoc4wec 71 22 reactions reaction NNS cord-011327-zsoc4wec 71 23 . . . cord-011327-zsoc4wec 72 1 There there EX cord-011327-zsoc4wec 72 2 is be VBZ cord-011327-zsoc4wec 72 3 an an DT cord-011327-zsoc4wec 72 4 urgent urgent JJ cord-011327-zsoc4wec 72 5 need need NN cord-011327-zsoc4wec 72 6 to to TO cord-011327-zsoc4wec 72 7 conduct conduct VB cord-011327-zsoc4wec 72 8 methodologically methodologically RB cord-011327-zsoc4wec 72 9 sound sound VB cord-011327-zsoc4wec 72 10 multicentre multicentre NNP cord-011327-zsoc4wec 72 11 randomised randomised JJ cord-011327-zsoc4wec 72 12 clinical clinical JJ cord-011327-zsoc4wec 72 13 trials trial NNS cord-011327-zsoc4wec 72 14 in in IN cord-011327-zsoc4wec 72 15 the the DT cord-011327-zsoc4wec 72 16 ICU ICU NNP cord-011327-zsoc4wec 72 17 environment environment NN cord-011327-zsoc4wec 72 18 on on IN cord-011327-zsoc4wec 72 19 this this DT cord-011327-zsoc4wec 72 20 topic topic NN cord-011327-zsoc4wec 72 21 ; ; : cord-011327-zsoc4wec 72 22 the the DT cord-011327-zsoc4wec 72 23 literature literature NN cord-011327-zsoc4wec 72 24 is be VBZ cord-011327-zsoc4wec 72 25 particularly particularly RB cord-011327-zsoc4wec 72 26 poor poor JJ cord-011327-zsoc4wec 72 27 with with IN cord-011327-zsoc4wec 72 28 regards regard NNS cord-011327-zsoc4wec 72 29 to to IN cord-011327-zsoc4wec 72 30 both both CC cord-011327-zsoc4wec 72 31 surgical surgical JJ cord-011327-zsoc4wec 72 32 and and CC cord-011327-zsoc4wec 72 33 non non JJ cord-011327-zsoc4wec 72 34 - - JJ cord-011327-zsoc4wec 72 35 surgical surgical JJ cord-011327-zsoc4wec 72 36 procedures procedure NNS cord-011327-zsoc4wec 72 37 in in IN cord-011327-zsoc4wec 72 38 critically critically RB cord-011327-zsoc4wec 72 39 ill ill JJ cord-011327-zsoc4wec 72 40 patients patient NNS cord-011327-zsoc4wec 72 41 . . . cord-011327-zsoc4wec 73 1 The the DT cord-011327-zsoc4wec 73 2 online online JJ cord-011327-zsoc4wec 73 3 version version NN cord-011327-zsoc4wec 73 4 of of IN cord-011327-zsoc4wec 73 5 this this DT cord-011327-zsoc4wec 73 6 article article NN cord-011327-zsoc4wec 73 7 ( ( -LRB- cord-011327-zsoc4wec 73 8 https https NNP cord-011327-zsoc4wec 73 9 : : : cord-011327-zsoc4wec 73 10 //doi.org/10.1007 //doi.org/10.1007 . cord-011327-zsoc4wec 73 11 / / SYM cord-011327-zsoc4wec 73 12 s0013 s0013 NNP cord-011327-zsoc4wec 73 13 4 4 CD cord-011327-zsoc4wec 73 14 - - HYPH cord-011327-zsoc4wec 73 15 019 019 CD cord-011327-zsoc4wec 73 16 - - HYPH cord-011327-zsoc4wec 73 17 05870 05870 CD cord-011327-zsoc4wec 73 18 -0 -0 NFP cord-011327-zsoc4wec 73 19 ) ) -RRB- cord-011327-zsoc4wec 73 20 contains contain VBZ cord-011327-zsoc4wec 73 21 supplementary supplementary JJ cord-011327-zsoc4wec 73 22 material material NN cord-011327-zsoc4wec 73 23 , , , cord-011327-zsoc4wec 73 24 which which WDT cord-011327-zsoc4wec 73 25 is be VBZ cord-011327-zsoc4wec 73 26 available available JJ cord-011327-zsoc4wec 73 27 to to IN cord-011327-zsoc4wec 73 28 authorized authorize VBN cord-011327-zsoc4wec 73 29 users user NNS cord-011327-zsoc4wec 73 30 . . . cord-011327-zsoc4wec 73 31 _SP cord-011327-zsoc4wec 74 1 Bloodstream bloodstream NN cord-011327-zsoc4wec 74 2 infections infection NNS cord-011327-zsoc4wec 74 3 caused cause VBN cord-011327-zsoc4wec 74 4 by by IN cord-011327-zsoc4wec 74 5 antibiotic antibiotic JJ cord-011327-zsoc4wec 74 6 - - HYPH cord-011327-zsoc4wec 74 7 resistant resistant JJ cord-011327-zsoc4wec 74 8 gram gram NN cord-011327-zsoc4wec 74 9 - - HYPH cord-011327-zsoc4wec 74 10 negative negative JJ cord-011327-zsoc4wec 74 11 bacilli bacilli NN cord-011327-zsoc4wec 74 12 : : : cord-011327-zsoc4wec 74 13 risk risk NN cord-011327-zsoc4wec 74 14 factors factor NNS cord-011327-zsoc4wec 74 15 for for IN cord-011327-zsoc4wec 74 16 mortality mortality NN cord-011327-zsoc4wec 74 17 and and CC cord-011327-zsoc4wec 74 18 impact impact NN cord-011327-zsoc4wec 74 19 of of IN cord-011327-zsoc4wec 74 20 inappropriate inappropriate JJ cord-011327-zsoc4wec 74 21 initial initial JJ cord-011327-zsoc4wec 74 22 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 74 23 therapy therapy NN cord-011327-zsoc4wec 74 24 on on IN cord-011327-zsoc4wec 74 25 outcome outcome NN cord-011327-zsoc4wec 75 1 The the DT cord-011327-zsoc4wec 75 2 influence influence NN cord-011327-zsoc4wec 75 3 of of IN cord-011327-zsoc4wec 75 4 inadequate inadequate JJ cord-011327-zsoc4wec 75 5 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 75 6 treatment treatment NN cord-011327-zsoc4wec 75 7 of of IN cord-011327-zsoc4wec 75 8 bloodstream bloodstream NN cord-011327-zsoc4wec 75 9 infections infection NNS cord-011327-zsoc4wec 75 10 on on IN cord-011327-zsoc4wec 75 11 patient patient JJ cord-011327-zsoc4wec 75 12 outcomes outcome NNS cord-011327-zsoc4wec 75 13 in in IN cord-011327-zsoc4wec 75 14 the the DT cord-011327-zsoc4wec 75 15 ICU ICU NNP cord-011327-zsoc4wec 75 16 setting set VBG cord-011327-zsoc4wec 75 17 Bacterial bacterial JJ cord-011327-zsoc4wec 75 18 contamination contamination NN cord-011327-zsoc4wec 75 19 of of IN cord-011327-zsoc4wec 75 20 inanimate inanimate JJ cord-011327-zsoc4wec 75 21 surfaces surface NNS cord-011327-zsoc4wec 75 22 and and CC cord-011327-zsoc4wec 75 23 equipment equipment NN cord-011327-zsoc4wec 75 24 in in IN cord-011327-zsoc4wec 75 25 the the DT cord-011327-zsoc4wec 75 26 intensive intensive JJ cord-011327-zsoc4wec 75 27 care care NN cord-011327-zsoc4wec 75 28 unit unit NN cord-011327-zsoc4wec 75 29 General general JJ cord-011327-zsoc4wec 75 30 principles principle NNS cord-011327-zsoc4wec 75 31 of of IN cord-011327-zsoc4wec 75 32 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 75 33 therapy therapy NN cord-011327-zsoc4wec 75 34 Cost cost NN cord-011327-zsoc4wec 75 35 - - HYPH cord-011327-zsoc4wec 75 36 effectiveness effectiveness NN cord-011327-zsoc4wec 75 37 analysis analysis NN cord-011327-zsoc4wec 75 38 of of IN cord-011327-zsoc4wec 75 39 implementing implement VBG cord-011327-zsoc4wec 75 40 an an DT cord-011327-zsoc4wec 75 41 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 75 42 stewardship stewardship NN cord-011327-zsoc4wec 75 43 program program NN cord-011327-zsoc4wec 75 44 in in IN cord-011327-zsoc4wec 75 45 critical critical JJ cord-011327-zsoc4wec 75 46 care care NN cord-011327-zsoc4wec 75 47 units unit NNS cord-011327-zsoc4wec 75 48 Clostridium clostridium NN cord-011327-zsoc4wec 75 49 difficile difficile NN cord-011327-zsoc4wec 75 50 and and CC cord-011327-zsoc4wec 75 51 the the DT cord-011327-zsoc4wec 75 52 microbiota microbiota NN cord-011327-zsoc4wec 75 53 Effect effect NN cord-011327-zsoc4wec 75 54 of of IN cord-011327-zsoc4wec 75 55 selective selective JJ cord-011327-zsoc4wec 75 56 decontamination decontamination NN cord-011327-zsoc4wec 75 57 on on IN cord-011327-zsoc4wec 75 58 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 75 59 resistance resistance NN cord-011327-zsoc4wec 75 60 in in IN cord-011327-zsoc4wec 75 61 intensive intensive JJ cord-011327-zsoc4wec 75 62 care care NN cord-011327-zsoc4wec 75 63 units unit NNS cord-011327-zsoc4wec 75 64 : : : cord-011327-zsoc4wec 75 65 a a DT cord-011327-zsoc4wec 75 66 systematic systematic JJ cord-011327-zsoc4wec 75 67 review review NN cord-011327-zsoc4wec 75 68 and and CC cord-011327-zsoc4wec 75 69 meta meta NNP cord-011327-zsoc4wec 75 70 - - HYPH cord-011327-zsoc4wec 75 71 analysis analysis NN cord-011327-zsoc4wec 76 1 Antimicrobial antimicrobial JJ cord-011327-zsoc4wec 76 2 use use NN cord-011327-zsoc4wec 76 3 in in IN cord-011327-zsoc4wec 76 4 European european JJ cord-011327-zsoc4wec 76 5 acute acute JJ cord-011327-zsoc4wec 76 6 care care NN cord-011327-zsoc4wec 76 7 hospitals hospital NNS cord-011327-zsoc4wec 76 8 : : : cord-011327-zsoc4wec 76 9 results result NNS cord-011327-zsoc4wec 76 10 from from IN cord-011327-zsoc4wec 76 11 the the DT cord-011327-zsoc4wec 76 12 second second JJ cord-011327-zsoc4wec 76 13 point point NN cord-011327-zsoc4wec 76 14 prevalence prevalence NN cord-011327-zsoc4wec 76 15 survey survey NN cord-011327-zsoc4wec 76 16 ( ( -LRB- cord-011327-zsoc4wec 76 17 PPS PPS NNP cord-011327-zsoc4wec 76 18 ) ) -RRB- cord-011327-zsoc4wec 76 19 of of IN cord-011327-zsoc4wec 76 20 healthcare healthcare NN cord-011327-zsoc4wec 76 21 - - HYPH cord-011327-zsoc4wec 76 22 associated associate VBN cord-011327-zsoc4wec 76 23 infections infection NNS cord-011327-zsoc4wec 76 24 and and CC cord-011327-zsoc4wec 76 25 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 76 26 use use NN cord-011327-zsoc4wec 76 27 ESICM ESICM NNP cord-011327-zsoc4wec 76 28 / / SYM cord-011327-zsoc4wec 76 29 ESC ESC NNP cord-011327-zsoc4wec 76 30 - - HYPH cord-011327-zsoc4wec 76 31 MID MID NNP cord-011327-zsoc4wec 76 32 task task NN cord-011327-zsoc4wec 76 33 force force NN cord-011327-zsoc4wec 76 34 on on IN cord-011327-zsoc4wec 76 35 practical practical JJ cord-011327-zsoc4wec 76 36 management management NN cord-011327-zsoc4wec 76 37 of of IN cord-011327-zsoc4wec 76 38 invasive invasive JJ cord-011327-zsoc4wec 76 39 candidiasis candidiasi NNS cord-011327-zsoc4wec 76 40 in in IN cord-011327-zsoc4wec 76 41 critically critically RB cord-011327-zsoc4wec 76 42 ill ill JJ cord-011327-zsoc4wec 76 43 patients patient NNS cord-011327-zsoc4wec 76 44 Timing time VBG cord-011327-zsoc4wec 76 45 of of IN cord-011327-zsoc4wec 76 46 surgical surgical JJ cord-011327-zsoc4wec 76 47 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 76 48 prophylaxis prophylaxis NN cord-011327-zsoc4wec 76 49 : : : cord-011327-zsoc4wec 76 50 a a DT cord-011327-zsoc4wec 76 51 phase phase NN cord-011327-zsoc4wec 76 52 3 3 CD cord-011327-zsoc4wec 76 53 randomised randomised JJ cord-011327-zsoc4wec 76 54 controlled control VBN cord-011327-zsoc4wec 76 55 trial trial NN cord-011327-zsoc4wec 76 56 Antibioprophylaxis Antibioprophylaxis NNP cord-011327-zsoc4wec 76 57 in in IN cord-011327-zsoc4wec 76 58 surgery surgery NN cord-011327-zsoc4wec 76 59 and and CC cord-011327-zsoc4wec 76 60 interventional interventional JJ cord-011327-zsoc4wec 76 61 medicine medicine NN cord-011327-zsoc4wec 77 1 A a DT cord-011327-zsoc4wec 77 2 complete complete JJ cord-011327-zsoc4wec 77 3 and and CC cord-011327-zsoc4wec 77 4 multifaceted multifaceted JJ cord-011327-zsoc4wec 77 5 overview overview NN cord-011327-zsoc4wec 77 6 of of IN cord-011327-zsoc4wec 77 7 antibiotic antibiotic JJ cord-011327-zsoc4wec 77 8 use use NN cord-011327-zsoc4wec 77 9 and and CC cord-011327-zsoc4wec 77 10 infection infection NN cord-011327-zsoc4wec 77 11 diagnosis diagnosis NN cord-011327-zsoc4wec 77 12 in in IN cord-011327-zsoc4wec 77 13 the the DT cord-011327-zsoc4wec 77 14 intensive intensive JJ cord-011327-zsoc4wec 77 15 care care NN cord-011327-zsoc4wec 77 16 unit unit NN cord-011327-zsoc4wec 77 17 : : : cord-011327-zsoc4wec 77 18 results result NNS cord-011327-zsoc4wec 77 19 from from IN cord-011327-zsoc4wec 77 20 a a DT cord-011327-zsoc4wec 77 21 prospective prospective JJ cord-011327-zsoc4wec 77 22 four four CD cord-011327-zsoc4wec 77 23 - - HYPH cord-011327-zsoc4wec 77 24 year year NN cord-011327-zsoc4wec 77 25 registration registration NN cord-011327-zsoc4wec 77 26 A a DT cord-011327-zsoc4wec 77 27 nationwide nationwide JJ cord-011327-zsoc4wec 77 28 survey survey NN cord-011327-zsoc4wec 77 29 of of IN cord-011327-zsoc4wec 77 30 intravenous intravenous JJ cord-011327-zsoc4wec 77 31 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 77 32 use use NN cord-011327-zsoc4wec 77 33 in in IN cord-011327-zsoc4wec 77 34 intensive intensive JJ cord-011327-zsoc4wec 77 35 care care NN cord-011327-zsoc4wec 77 36 units unit NNS cord-011327-zsoc4wec 77 37 in in IN cord-011327-zsoc4wec 77 38 Japan Japan NNP cord-011327-zsoc4wec 77 39 Clinical Clinical NNP cord-011327-zsoc4wec 77 40 practice practice NN cord-011327-zsoc4wec 77 41 guidelines guideline NNS cord-011327-zsoc4wec 77 42 for for IN cord-011327-zsoc4wec 77 43 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 77 44 prophylaxis prophylaxis NN cord-011327-zsoc4wec 77 45 in in IN cord-011327-zsoc4wec 77 46 surgery surgery NN cord-011327-zsoc4wec 77 47 Colonization Colonization NNP cord-011327-zsoc4wec 77 48 pressure pressure NN cord-011327-zsoc4wec 77 49 as as IN cord-011327-zsoc4wec 77 50 a a DT cord-011327-zsoc4wec 77 51 risk risk NN cord-011327-zsoc4wec 77 52 factor factor NN cord-011327-zsoc4wec 77 53 of of IN cord-011327-zsoc4wec 77 54 ICU ICU NNP cord-011327-zsoc4wec 77 55 - - HYPH cord-011327-zsoc4wec 77 56 acquired acquire VBN cord-011327-zsoc4wec 77 57 multidrug multidrug NN cord-011327-zsoc4wec 77 58 resistant resistant JJ cord-011327-zsoc4wec 77 59 bacteria bacteria NNS cord-011327-zsoc4wec 77 60 : : : cord-011327-zsoc4wec 77 61 a a DT cord-011327-zsoc4wec 77 62 prospective prospective JJ cord-011327-zsoc4wec 77 63 observational observational JJ cord-011327-zsoc4wec 77 64 study study NN cord-011327-zsoc4wec 77 65 Accuracy accuracy NN cord-011327-zsoc4wec 77 66 of of IN cord-011327-zsoc4wec 77 67 American American NNP cord-011327-zsoc4wec 77 68 Thoracic Thoracic NNP cord-011327-zsoc4wec 77 69 Society Society NNP cord-011327-zsoc4wec 77 70 / / SYM cord-011327-zsoc4wec 77 71 Infectious Infectious NNP cord-011327-zsoc4wec 77 72 Diseases Diseases NNPS cord-011327-zsoc4wec 77 73 Society Society NNP cord-011327-zsoc4wec 77 74 of of IN cord-011327-zsoc4wec 77 75 America America NNP cord-011327-zsoc4wec 77 76 criteria criterion NNS cord-011327-zsoc4wec 77 77 in in IN cord-011327-zsoc4wec 77 78 predicting predict VBG cord-011327-zsoc4wec 77 79 infection infection NN cord-011327-zsoc4wec 77 80 or or CC cord-011327-zsoc4wec 77 81 colonization colonization NN cord-011327-zsoc4wec 77 82 with with IN cord-011327-zsoc4wec 77 83 multidrug multidrug NN cord-011327-zsoc4wec 77 84 - - HYPH cord-011327-zsoc4wec 77 85 resistant resistant JJ cord-011327-zsoc4wec 77 86 bacteria bacteria NNS cord-011327-zsoc4wec 77 87 at at IN cord-011327-zsoc4wec 77 88 intensive intensive JJ cord-011327-zsoc4wec 77 89 - - HYPH cord-011327-zsoc4wec 77 90 care care NN cord-011327-zsoc4wec 77 91 unit unit NN cord-011327-zsoc4wec 77 92 admission admission NN cord-011327-zsoc4wec 78 1 Anesthesia anesthesia NN cord-011327-zsoc4wec 78 2 in in IN cord-011327-zsoc4wec 78 3 patients patient NNS cord-011327-zsoc4wec 78 4 with with IN cord-011327-zsoc4wec 78 5 infectious infectious JJ cord-011327-zsoc4wec 78 6 disease disease NN cord-011327-zsoc4wec 78 7 caused cause VBN cord-011327-zsoc4wec 78 8 by by IN cord-011327-zsoc4wec 78 9 multi multi JJ cord-011327-zsoc4wec 78 10 - - JJ cord-011327-zsoc4wec 78 11 drug drug JJ cord-011327-zsoc4wec 78 12 resistant resistant JJ cord-011327-zsoc4wec 78 13 bacteria bacteria NNS cord-011327-zsoc4wec 78 14 Surgical surgical JJ cord-011327-zsoc4wec 78 15 antimicrobial antimicrobial JJ cord-011327-zsoc4wec 78 16 prophylaxis prophylaxis NN cord-011327-zsoc4wec 78 17 in in IN cord-011327-zsoc4wec 78 18 intensive intensive JJ cord-011327-zsoc4wec 78 19 care care NN cord-011327-zsoc4wec 78 20 unit unit NN cord-011327-zsoc4wec 78 21 ( ( -LRB- cord-011327-zsoc4wec 78 22 ICU ICU NNP cord-011327-zsoc4wec 78 23 ) ) -RRB- cord-011327-zsoc4wec 78 24 patients patient NNS cord-011327-zsoc4wec 78 25 : : : cord-011327-zsoc4wec 78 26 a a DT cord-011327-zsoc4wec 78 27 preliminary preliminary JJ cord-011327-zsoc4wec 78 28 , , , cord-011327-zsoc4wec 78 29 observational observational JJ cord-011327-zsoc4wec 78 30 , , , cord-011327-zsoc4wec 78 31 retrospective retrospective JJ cord-011327-zsoc4wec 78 32 study study NN cord-011327-zsoc4wec 78 33 Management Management NNP cord-011327-zsoc4wec 78 34 of of IN cord-011327-zsoc4wec 78 35 adults adult NNS cord-011327-zsoc4wec 78 36 with with IN cord-011327-zsoc4wec 78 37 hospital hospital NN cord-011327-zsoc4wec 78 38 - - HYPH cord-011327-zsoc4wec 78 39 acquired acquire VBN cord-011327-zsoc4wec 78 40 and and CC cord-011327-zsoc4wec 78 41 ventilator ventilator NN cord-011327-zsoc4wec 78 42 - - HYPH cord-011327-zsoc4wec 78 43 associated associate VBN cord-011327-zsoc4wec 78 44 pneumonia pneumonia NN cord-011327-zsoc4wec 78 45 : : : cord-011327-zsoc4wec 79 1 2016 2016 CD cord-011327-zsoc4wec 79 2 clinical clinical JJ cord-011327-zsoc4wec 79 3 practice practice NN cord-011327-zsoc4wec 79 4 guidelines guideline NNS cord-011327-zsoc4wec 79 5 by by IN cord-011327-zsoc4wec 79 6 the the DT cord-011327-zsoc4wec 79 7 Infectious Infectious NNP cord-011327-zsoc4wec 79 8 Diseases Diseases NNPS cord-011327-zsoc4wec 79 9 Society Society NNP cord-011327-zsoc4wec 79 10 of of IN cord-011327-zsoc4wec 79 11 America America NNP cord-011327-zsoc4wec 79 12 and and CC cord-011327-zsoc4wec 79 13 the the DT cord-011327-zsoc4wec 79 14 International International NNP cord-011327-zsoc4wec 79 15 ERS ERS NNP cord-011327-zsoc4wec 79 16 / / SYM cord-011327-zsoc4wec 79 17 ESICM/ ESICM/ NNP cord-011327-zsoc4wec 79 18 ESCMID ESCMID NNP cord-011327-zsoc4wec 79 19 / / SYM cord-011327-zsoc4wec 79 20 ALAT ALAT NNP cord-011327-zsoc4wec 79 21 guidelines guideline NNS cord-011327-zsoc4wec 79 22 for for IN cord-011327-zsoc4wec 79 23 the the DT cord-011327-zsoc4wec 79 24 management management NN cord-011327-zsoc4wec 79 25 of of IN cord-011327-zsoc4wec 79 26 hospital hospital NN cord-011327-zsoc4wec 79 27 - - HYPH cord-011327-zsoc4wec 79 28 acquired acquire VBN cord-011327-zsoc4wec 79 29 pneumonia pneumonia NN cord-011327-zsoc4wec 79 30 and and CC cord-011327-zsoc4wec 79 31 ventilator ventilator NN cord-011327-zsoc4wec 79 32 - - HYPH cord-011327-zsoc4wec 79 33 associated associate VBN cord-011327-zsoc4wec 79 34 pneumonia pneumonia NN cord-011327-zsoc4wec 79 35 Hospital Hospital NNP cord-011327-zsoc4wec 79 36 - - HYPH cord-011327-zsoc4wec 79 37 acquired acquire VBN cord-011327-zsoc4wec 79 38 pneumonia pneumonia NN cord-011327-zsoc4wec 79 39 in in IN cord-011327-zsoc4wec 79 40 ICU ICU NNP cord-011327-zsoc4wec 79 41 Protective protective JJ cord-011327-zsoc4wec 79 42 effect effect NN cord-011327-zsoc4wec 79 43 of of IN cord-011327-zsoc4wec 79 44 intravenously intravenously RB cord-011327-zsoc4wec 79 45 administered administer VBN cord-011327-zsoc4wec 79 46 cefuroxime cefuroxime NN cord-011327-zsoc4wec 79 47 against against IN cord-011327-zsoc4wec 79 48 nosocomial nosocomial JJ cord-011327-zsoc4wec 79 49 pneumonia pneumonia NN cord-011327-zsoc4wec 79 50 in in IN cord-011327-zsoc4wec 79 51 patients patient NNS cord-011327-zsoc4wec 79 52 with with IN cord-011327-zsoc4wec 79 53 structural structural JJ cord-011327-zsoc4wec 79 54 coma coma NN cord-011327-zsoc4wec 79 55 Antibiotic antibiotic JJ cord-011327-zsoc4wec 79 56 prophylaxis prophylaxis NN cord-011327-zsoc4wec 79 57 of of IN cord-011327-zsoc4wec 79 58 early early JJ cord-011327-zsoc4wec 79 59 onset onset NN cord-011327-zsoc4wec 79 60 pneumonia pneumonia NN cord-011327-zsoc4wec 79 61 in in IN cord-011327-zsoc4wec 79 62 critically critically RB cord-011327-zsoc4wec 79 63 ill ill JJ cord-011327-zsoc4wec 79 64 comatose comatose JJ cord-011327-zsoc4wec 79 65 patients patient NNS cord-011327-zsoc4wec 79 66 . . . cord-011327-zsoc4wec 80 1 A a DT cord-011327-zsoc4wec 80 2 randomized randomized JJ cord-011327-zsoc4wec 80 3 study study NN cord-011327-zsoc4wec 80 4 Efficacy Efficacy NNP cord-011327-zsoc4wec 80 5 of of IN cord-011327-zsoc4wec 80 6 single single JJ cord-011327-zsoc4wec 80 7 - - HYPH cord-011327-zsoc4wec 80 8 dose dose NN cord-011327-zsoc4wec 80 9 antibiotic antibiotic NN cord-011327-zsoc4wec 80 10 against against IN cord-011327-zsoc4wec 80 11 early early JJ cord-011327-zsoc4wec 80 12 - - HYPH cord-011327-zsoc4wec 80 13 onset onset NN cord-011327-zsoc4wec 80 14 pneumonia pneumonia NN cord-011327-zsoc4wec 80 15 in in IN cord-011327-zsoc4wec 80 16 comatose comatose JJ cord-011327-zsoc4wec 80 17 patients patient NNS cord-011327-zsoc4wec 80 18 who who WP cord-011327-zsoc4wec 80 19 are be VBP cord-011327-zsoc4wec 80 20 ventilatedpreventing ventilatedprevente VBG cord-011327-zsoc4wec 80 21 pneumonia pneumonia NN cord-011327-zsoc4wec 80 22 in in IN cord-011327-zsoc4wec 80 23 comatose comatose JJ cord-011327-zsoc4wec 80 24 patients patient NNS cord-011327-zsoc4wec 80 25 Systemic systemic JJ cord-011327-zsoc4wec 80 26 antibiotics antibiotic NNS cord-011327-zsoc4wec 80 27 for for IN cord-011327-zsoc4wec 80 28 preventing prevent VBG cord-011327-zsoc4wec 80 29 ventilator ventilator NN cord-011327-zsoc4wec 80 30 - - HYPH cord-011327-zsoc4wec 80 31 associated associate VBN cord-011327-zsoc4wec 80 32 pneumonia pneumonia NN cord-011327-zsoc4wec 80 33 in in IN cord-011327-zsoc4wec 80 34 comatose comatose JJ cord-011327-zsoc4wec 80 35 patients patient NNS cord-011327-zsoc4wec 80 36 : : : cord-011327-zsoc4wec 80 37 a a DT cord-011327-zsoc4wec 80 38 systematic systematic JJ cord-011327-zsoc4wec 80 39 review review NN cord-011327-zsoc4wec 80 40 and and CC cord-011327-zsoc4wec 80 41 meta meta NNP cord-011327-zsoc4wec 80 42 - - HYPH cord-011327-zsoc4wec 80 43 analysis analysis NN cord-011327-zsoc4wec 80 44 Prevention Prevention NNP cord-011327-zsoc4wec 80 45 of of IN cord-011327-zsoc4wec 80 46 early early JJ cord-011327-zsoc4wec 80 47 ventilation ventilation NN cord-011327-zsoc4wec 80 48 - - HYPH cord-011327-zsoc4wec 80 49 acquired acquire VBN cord-011327-zsoc4wec 80 50 pneumonia pneumonia NN cord-011327-zsoc4wec 80 51 ( ( -LRB- cord-011327-zsoc4wec 80 52 VAP VAP NNP cord-011327-zsoc4wec 80 53 ) ) -RRB- cord-011327-zsoc4wec 80 54 in in IN cord-011327-zsoc4wec 80 55 comatose comatose JJ cord-011327-zsoc4wec 80 56 brain brain NN cord-011327-zsoc4wec 80 57 - - HYPH cord-011327-zsoc4wec 80 58 injured injure VBN cord-011327-zsoc4wec 80 59 patients patient NNS cord-011327-zsoc4wec 80 60 by by IN cord-011327-zsoc4wec 80 61 a a DT cord-011327-zsoc4wec 80 62 single single JJ cord-011327-zsoc4wec 80 63 dose dose NN cord-011327-zsoc4wec 80 64 of of IN cord-011327-zsoc4wec 80 65 ceftriaxone ceftriaxone NN cord-011327-zsoc4wec 80 66 : : : cord-011327-zsoc4wec 80 67 PROPHY PROPHY NNP cord-011327-zsoc4wec 80 68 - - HYPH cord-011327-zsoc4wec 80 69 VAP VAP NNP cord-011327-zsoc4wec 80 70 study study NN cord-011327-zsoc4wec 80 71 protocol protocol NN cord-011327-zsoc4wec 80 72 , , , cord-011327-zsoc4wec 80 73 a a DT cord-011327-zsoc4wec 80 74 multicentre multicentre NNP cord-011327-zsoc4wec 80 75 , , , cord-011327-zsoc4wec 80 76 randomised randomised JJ cord-011327-zsoc4wec 80 77 , , , cord-011327-zsoc4wec 80 78 double double JJ cord-011327-zsoc4wec 80 79 - - HYPH cord-011327-zsoc4wec 80 80 blind blind JJ cord-011327-zsoc4wec 80 81 , , , cord-011327-zsoc4wec 80 82 placebo placebo NN cord-011327-zsoc4wec 80 83 - - HYPH cord-011327-zsoc4wec 80 84 controlled control VBN cord-011327-zsoc4wec 80 85 trial trial NN cord-011327-zsoc4wec 80 86 Systematic systematic JJ cord-011327-zsoc4wec 80 87 review review NN cord-011327-zsoc4wec 80 88 and and CC cord-011327-zsoc4wec 80 89 metaanalysis metaanalysis NN cord-011327-zsoc4wec 80 90 of of IN cord-011327-zsoc4wec 80 91 antibiotic antibiotic JJ cord-011327-zsoc4wec 80 92 prophylaxis prophylaxis NN cord-011327-zsoc4wec 80 93 to to TO cord-011327-zsoc4wec 80 94 prevent prevent VB cord-011327-zsoc4wec 80 95 infections infection NNS cord-011327-zsoc4wec 80 96 from from IN cord-011327-zsoc4wec 80 97 chest chest NN cord-011327-zsoc4wec 80 98 drains drain NNS cord-011327-zsoc4wec 80 99 in in IN cord-011327-zsoc4wec 80 100 blunt blunt JJ cord-011327-zsoc4wec 80 101 and and CC cord-011327-zsoc4wec 80 102 penetrating penetrating JJ cord-011327-zsoc4wec 80 103 thoracic thoracic JJ cord-011327-zsoc4wec 80 104 injuries injury NNS cord-011327-zsoc4wec 80 105 Postoperative postoperative JJ cord-011327-zsoc4wec 80 106 antibacterial antibacterial JJ cord-011327-zsoc4wec 80 107 prophylaxis prophylaxis NN cord-011327-zsoc4wec 80 108 for for IN cord-011327-zsoc4wec 80 109 the the DT cord-011327-zsoc4wec 80 110 prevention prevention NN cord-011327-zsoc4wec 80 111 of of IN cord-011327-zsoc4wec 80 112 infectious infectious JJ cord-011327-zsoc4wec 80 113 complications complication NNS cord-011327-zsoc4wec 80 114 associated associate VBN cord-011327-zsoc4wec 80 115 with with IN cord-011327-zsoc4wec 80 116 tube tube NN cord-011327-zsoc4wec 80 117 thoracostomy thoracostomy NN cord-011327-zsoc4wec 80 118 in in IN cord-011327-zsoc4wec 80 119 patients patient NNS cord-011327-zsoc4wec 80 120 undergoing undergo VBG cord-011327-zsoc4wec 80 121 elective elective JJ cord-011327-zsoc4wec 80 122 general general JJ cord-011327-zsoc4wec 80 123 thoracic thoracic JJ cord-011327-zsoc4wec 80 124 surgery surgery NN cord-011327-zsoc4wec 80 125 : : : cord-011327-zsoc4wec 80 126 a a DT cord-011327-zsoc4wec 80 127 double double JJ cord-011327-zsoc4wec 80 128 - - HYPH cord-011327-zsoc4wec 80 129 blind blind JJ cord-011327-zsoc4wec 80 130 , , , cord-011327-zsoc4wec 80 131 placebo placebo NN cord-011327-zsoc4wec 80 132 - - HYPH cord-011327-zsoc4wec 80 133 controlled control VBN cord-011327-zsoc4wec 80 134 , , , cord-011327-zsoc4wec 80 135 randomized randomized JJ cord-011327-zsoc4wec 80 136 trial trial NN cord-011327-zsoc4wec 80 137 The the DT cord-011327-zsoc4wec 80 138 insertion insertion NN cord-011327-zsoc4wec 80 139 and and CC cord-011327-zsoc4wec 80 140 management management NN cord-011327-zsoc4wec 80 141 of of IN cord-011327-zsoc4wec 80 142 external external JJ cord-011327-zsoc4wec 80 143 ventricular ventricular JJ cord-011327-zsoc4wec 80 144 drains drain VBZ cord-011327-zsoc4wec 80 145 : : : cord-011327-zsoc4wec 80 146 an an DT cord-011327-zsoc4wec 80 147 evidence evidence NN cord-011327-zsoc4wec 80 148 - - HYPH cord-011327-zsoc4wec 80 149 based base VBN cord-011327-zsoc4wec 80 150 consensus consensus NN cord-011327-zsoc4wec 80 151 statement statement NN cord-011327-zsoc4wec 80 152 : : : cord-011327-zsoc4wec 80 153 a a DT cord-011327-zsoc4wec 80 154 statement statement NN cord-011327-zsoc4wec 80 155 for for IN cord-011327-zsoc4wec 80 156 healthcare healthcare NN cord-011327-zsoc4wec 80 157 professionals professional NNS cord-011327-zsoc4wec 80 158 from from IN cord-011327-zsoc4wec 80 159 the the DT cord-011327-zsoc4wec 80 160 Neurocritical Neurocritical NNP cord-011327-zsoc4wec 80 161 Care Care NNP cord-011327-zsoc4wec 80 162 Society Society NNP cord-011327-zsoc4wec 81 1 The the DT cord-011327-zsoc4wec 81 2 work work NN cord-011327-zsoc4wec 81 3 was be VBD cord-011327-zsoc4wec 81 4 funded fund VBN cord-011327-zsoc4wec 81 5 by by IN cord-011327-zsoc4wec 81 6 JPIAMR JPIAMR NNP cord-011327-zsoc4wec 82 1 ( ( -LRB- cord-011327-zsoc4wec 82 2 Grant Grant NNP cord-011327-zsoc4wec 82 3 No No NNP cord-011327-zsoc4wec 82 4 . . NN cord-011327-zsoc4wec 82 5 2018 2018 CD cord-011327-zsoc4wec 82 6 - - SYM cord-011327-zsoc4wec 82 7 06335 06335 CD cord-011327-zsoc4wec 82 8 ) ) -RRB- cord-011327-zsoc4wec 82 9 . . . cord-011327-zsoc4wec 82 10 _SP cord-011327-zsoc4wec 83 1 Springer Springer NNP cord-011327-zsoc4wec 83 2 Nature Nature NNP cord-011327-zsoc4wec 83 3 remains remain VBZ cord-011327-zsoc4wec 83 4 neutral neutral JJ cord-011327-zsoc4wec 83 5 with with IN cord-011327-zsoc4wec 83 6 regard regard NN cord-011327-zsoc4wec 83 7 to to IN cord-011327-zsoc4wec 83 8 jurisdictional jurisdictional JJ cord-011327-zsoc4wec 83 9 claims claim NNS cord-011327-zsoc4wec 83 10 in in IN cord-011327-zsoc4wec 83 11 published publish VBN cord-011327-zsoc4wec 83 12 maps map NNS cord-011327-zsoc4wec 83 13 and and CC cord-011327-zsoc4wec 83 14 institutional institutional JJ cord-011327-zsoc4wec 83 15 affiliations affiliation NNS cord-011327-zsoc4wec 83 16 . . .