Guidelines HAP VAP Standpoint from (some) academics IDSA HAP VAP Guidelines Update 03032017 VAP #HAP #pneumonia The diagnosis of VAP is difficult as clinical signs suggestive of pneumonia, such as fever, tachycardia, and leukocytosis, are nonspecific in critically ill patients. Moreover, particularly in Updated IDSA ATS Guidelines on Management of Adults With HAP and VAP Frontiers Impact of clinical pharmacist led antimicrobial stewardship on antibiotic appropriateness, clinical outcomes, and antimicrobial consumption in hospital acquired and ventilator associated pneumonia: a randomized controlled trial