Ventilator associated pneumonia is the most frequent presentation of hospital acquired infection of the lower respiratory tract. Microaspirations around the tracheal tube cuff and the formation of biofilm can lead to progressive bacterial spread in Criteria used for the diagnosis of VAP. Adapted from the European Download Scientific Diagram An in depth look at ventilator associated pneumonia in trauma patients and efforts to increase bundle compliance, education and documentation in a surgical trauma critical care unit American Journal of Infection Control Full article: The pathogenesis of ventilator associated pneumonia: old and new mechanisms Frontiers The role of VAP 1 in cardiovascular disease: a review