During the lasttwo decades, many guidelines have been proposed to reduce the incidence of VAP. It hasbeen scientifically proven that interventions must be combined in order to be useful
VAP is very common in ventilated patient, so the intervention that reduces incidence is crucial. It is true that combined interventions that includes, but not limited to frequent hand washing, elevated head to 30-45 degrees, sedation vacation, daily oral care with chlorhexidine, PUD prophylactically etc are scientifically proven that measures to reduce the incidence of VAP. DK