Intubation and mechanical ventilation lead to an extensive expansion of VAP-associated bacterial species in respiratory secretions of ventilated pigs
This study demonstrates that in a pig model, mechanical ventilation causes a rapid and massive expansion of Gram-negative bacterial species in respiratory secretions above the endotracheal tube cuff within 24 hours, with these same pathogens subsequently colonizing the trachea, suggesting that sub-cuff bacterial accumulation is a critical factor in the development of ventilator-associated pneumonia.