VAP Empirical Antibiotics — FRCA Final MCQ

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ModerateIntensive Care MedicineVAP Empirical AntibioticsFRCA Final

Day 5 ventilation: new fever, purulent secretions, new LLL infiltrate. Initial antibiotic strategy?

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Correct answer: B — Broad-spectrum empirical covering local flora including Pseudomonas

VAP criteria met. Start empirical broad-spectrum immediately after obtaining cultures (ETA or BAL). Cover Pseudomonas and MRSA per local resistance. De-escalate when sensitivities available.

Reference: NICE – 2023 – NG139 Hospital-acquired pneumonia; ICS – 2023 – VAP bundle