Diagnosis

HAP: Respiratory samples should be obtained by spontaneous expectoration, sputum induction or nasotracheal suctioning and subjected to semi-quantitative cultures.

VAP: The preferred method for lower respiratory tract sample collection (blind or targeted, bronchoscopic or non-bronchoscopic) depends upon centre expertise, available facilities and cost issues; however, blind endotracheal aspirate is the easiest and associated with similar patient outcomes.