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Currently, pneumonia is the sixth leading cause of death in the United States and the leading cause of death of children worldwide. The mortality rate for patients of all ages with VAP is approximately 33% to 50%.Approximately 10-28% of critical care patients develop Ventilator Associated Pneumonia (VAP). It increases length of stay in ICU up to 28% and each incidence of Ventilator-associated pneumonia (VAP) is estimated to generate an increased cost of £6000-£22000. Mortality rate is 24%-71%.doi:10.21276/ajcpn.2019.7.1.3 fatcat:vxbw5cnel5fkdbywiemzunb5de