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Wagh H et al. – Ventilator Associated Pneumonia (VAP) is pneumonia occurring in a patient within 48 hours or more after intubation with an endotracheal tube or tracheostomy tube and which was not present before. It is also the most common and fatal infection of ICU. VAP increases length of ICU stay by 28% and each incidence of VAP is estimated to generate an increased cost of £6000– £22000. Eliminating or reducing the unnecessary use of antibiotics should be the primary goal in reducing antibiotic–resistant nosocomial infections.

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