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                      "titulo" => "Nosocomial pneumonia in patients receiving continuous mechanical ventilation: prospective analysis of 52 episodes with use of a protected specimen brush and quantitative culture techniques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "J. Chastre"
                            2 => "Y. Domart"
                            3 => "J.L. Trouillet"
                            4 => "J. Pierre"
                            5 => "C. Darne"
                          ]
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                      "doi" => "10.1164/ajrccm/139.4.877"
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                        "tituloSerie" => "Am Rev Respir Dis"
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                        "volumen" => "139"
                        "paginaInicial" => "877"
                        "paginaFinal" => "884"
                        "link" => array:1 [
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            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of nosocomial pneumonia in acute diffuse lung injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C.P. Andrews"
                            1 => "J.J. Coalson"
                            2 => "J.D. Smith"
                            3 => "W.G. Johanson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1981"
                        "volumen" => "80"
                        "paginaInicial" => "254"
                        "paginaFinal" => "258"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7273874"
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                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0015"
              "etiqueta" => "3."
              "referencia" => array:1 [
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                      "titulo" => "Incidence, risk, and prognosis factors of nosocomial pneumonia in mechanically ventilated patients"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A. Torres"
                            1 => "R. Aznar"
                            2 => "J.M. Gatell"
                            3 => "P. Jiménez"
                            4 => "J. González"
                            5 => "A. Ferrer"
                          ]
                        ]
                      ]
                    ]
                  ]
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                      "doi" => "10.1164/ajrccm/142.3.523"
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                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1990"
                        "volumen" => "142"
                        "paginaInicial" => "523"
                        "paginaFinal" => "528"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2202245"
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                      "titulo" => "Incidence and risk factors of pneumonia in intensive care units. Results from a multicenter prospective study on 996 patients."
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                          "colaboracion" => "and the European Cooperative Group on nosocomial pneumonia"
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S. Chevret"
                            1 => "M. Hemmer"
                            2 => "J. Carlet"
                            3 => "M. Langer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "link" => array:1 [
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                ]
              ]
            ]
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              "etiqueta" => "5."
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                    0 => array:2 [
                      "titulo" => "Selective Decontamination of the Digestive Tract Trialists’ Collaborative Group"
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                          "colaboracion" => "Meta-analysis of randomised controlled trials of selective decontamination of the digestive tract"
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                        "tituloSerie" => "Br Med J"
                        "fecha" => "1993"
                        "volumen" => "307"
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                        "paginaFinal" => "532"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0030"
              "etiqueta" => "6."
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                    0 => array:2 [
                      "titulo" => "Nosocomial bronchopneumonia in the critically ill"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:5 [
                            0 => "J.J. Rouby"
                            1 => "E.M. Martin de Lassale"
                            2 => "P. Poete"
                            3 => "M.H. Nicolas"
                            4 => "V. Bodin Jarlier"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/146.6.1582"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1992"
                        "volumen" => "146"
                        "paginaInicial" => "1.059"
                        "paginaFinal" => "1.066"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1456579"
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                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0035"
              "etiqueta" => "7."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validation of different techniques for the diagnosis of ventilator-associated pneumonia: comparison with immediate postmortem pulmonary biopsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A. Torres"
                            1 => "M. El-Ebiary"
                            2 => "L. Padró"
                            3 => "J. González"
                            4 => "J. Puig de la Bellacasa"
                            5 => "J. Ramírez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1994"
                        "volumen" => "149"
                        "paginaInicial" => "324"
                        "paginaFinal" => "331"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nosocomial pneumonia and the role of gastric pH. A Meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D. Cook"
                            1 => "L. Laine"
                            2 => "G. Guyatt"
                            3 => "A. Raffin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "100"
                        "paginaInicial" => "7"
                        "paginaFinal" => "13"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1676361"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gastric colonization by gram-negative bacilli and nosocomial pneumonía in the intensive care unit patients: evidence for causation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D. Heyland"
                            1 => "L.A. Mandell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1992"
                        "volumen" => "101"
                        "paginaInicial" => "187"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1729067"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gastric and pharyngeal flora in nosocomial pneumonia acquired during mechanical ventilation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A. Torres"
                            1 => "M. El-Ebiary"
                            2 => "J. González"
                            3 => "M. Ferrer"
                            4 => "J. Puig de la Bellacasa"
                            5 => "A. Gené"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/148.2.352"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1993"
                        "volumen" => "148"
                        "paginaInicial" => "352"
                        "paginaFinal" => "357"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8342898"
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            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gastroduodenal dysfunction and bacterial colonisation of the ventilated lung"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T.J. Inglis"
                            1 => "M.J. Sherrat"
                            2 => "L.J. Sproat"
                            3 => "J.S. Gibson"
                            4 => "P.M. Hawkey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1993"
                        "volumen" => "341"
                        "paginaInicial" => "911"
                        "paginaFinal" => "913"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8096263"
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
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                0 => array:1 [
                  "referenciaCompleta" => "Ferrer M, Torres A, González J, Puig de la Bellacasa J, El-Ebiary M, Roca M et al. Utility of selective digestive decontamination in mechanically ventilated patients. Ann Intern Med 1994&#59; 120: 000-000 (en prensa)."
                ]
              ]
            ]
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              "identificador" => "bib0065"
              "etiqueta" => "13."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An update on selective decontamination of the digestive tract"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L.L. Dever"
                            1 => "W.G. Johanson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Current Opinion in Infectious Diseases"
                        "fecha" => "1993"
                        "volumen" => "6"
                        "paginaInicial" => "744"
                        "paginaFinal" => "750"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nosocomial pneumonia in the critically ill: product of aspiration or translocation?"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R.G. Fiddian Green"
                            1 => "S. Baker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1991"
                        "volumen" => "19"
                        "paginaInicial" => "763"
                        "paginaFinal" => "769"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2055052"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is bacterial translocation an etiopathogenic mechanism in the development of nosocomial pneumonia?"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M. El-Ebiary"
                            1 => "A. Torres"
                            2 => "C. Hernández"
                            3 => "M. Ferrer"
                            4 => "J. Puig de la Bellacasa"
                            5 => "J. González"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/148.4_Pt_1.872"
                      "Revista" => array:3 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1994"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8214941"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A. Torres"
                            1 => "J. Serra-Batlles"
                            2 => "E. Ros"
                            3 => "C. Piera"
                            4 => "J. Puig de la Bellacasa"
                            5 => "A. Cobos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1992"
                        "volumen" => "116"
                        "paginaInicial" => "540"
                        "paginaFinal" => "543"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1543307"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ventilator-associated pneumonia. A multivariate analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M.H. Kollef"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1993"
                        "volumen" => "270"
                        "paginaInicial" => "1.965"
                        "paginaFinal" => "1.970"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8254854"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevention of nosocomial pneumonia in intubated patients: respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P.H. Mahul"
                            1 => "C. Auboyer"
                            2 => "R. Jospe"
                            3 => "A. Ros"
                            4 => "C. Guerin"
                            5 => "Z. El Khouri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1992"
                        "volumen" => "18"
                        "paginaInicial" => "20"
                        "paginaFinal" => "25"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1578042"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk factors for pneumonia and fatality in patients receiving continuous mechanical ventilation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D.E. Craven"
                            1 => "L.M. Kunches"
                            2 => "V. Kilinsky"
                            3 => "D.A. Lichtenberg"
                            4 => "B.J. Make"
                            5 => "W.R. McCabe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1986"
                        "volumen" => "133"
                        "paginaInicial" => "792"
                        "paginaFinal" => "796"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3706887"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20."
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk factors for <span class="elsevierStyleItalic">Staphylococcus aureus</span> nosocomial pneumonia in critically ill patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Rello"
                            1 => "E&#46; Quintana"
                            2 => "V&#46; Ausina"
                            3 => "C&#46; Puzo"
                            4 => "A&#46; Net"
                            5 => "G&#46; Prats"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/142.6_Pt_2.S7"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1990"
                        "volumen" => "142"
                        "paginaInicial" => "1&#46;320"
                        "paginaFinal" => "1&#46;324"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2252277"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673603137798"
                          "estado" => "S300"
                          "issn" => "01406736"
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                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumonia following closed head injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Hsieh"
                            1 => "M&#46; Bishop"
                            2 => "P&#46; Kubilis"
                            3 => "D&#46; Newell"
                            4 => "D&#46; Pierson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/146.2.290"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1992"
                        "volumen" => "146"
                        "paginaInicial" => "290"
                        "paginaFinal" => "294"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1489114"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A predictive risk index for nosocomial pneumonia in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46; Joshi"
                            1 => "R&#46; Localio"
                            2 => "B&#46;H&#46; Hamory"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Med"
                        "fecha" => "1992"
                        "volumen" => "93"
                        "paginaInicial" => "135"
                        "paginaFinal" => "142"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1497009"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gastroesophageal reflux in intubated patients receiving enteral nutrition&#58; effect of supine and semirecumbent positions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Ib&#225;&#241;ez"
                            1 => "A&#46; Pe&#241;afiel"
                            2 => "J&#46;M&#46; Raurich"
                            3 => "P&#46; Mars&#233;"
                            4 => "R&#46; Jord&#225;"
                            5 => "F&#46; Mata"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Parent Enteral Nutr"
                        "fecha" => "1992"
                        "volumen" => "16"
                        "paginaInicial" => "419"
                        "paginaFinal" => "422"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic bronchoalveolar lavage in patients with pneumonia produces sepsis-like systemic effects"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Pugin"
                            1 => "P&#46;M&#46; Suter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1993"
                        "volumen" => "18"
                        "paginaInicial" => "6"
                        "paginaFinal" => "10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1578055"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of previous antimicrobial therapy on the etiology and outcome of ventilator-associated pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Rello"
                            1 => "V&#46; Ausina"
                            2 => "M&#46; Ricart"
                            3 => "J&#46; Castella"
                            4 => "G&#46; Prats"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "104"
                        "paginaInicial" => "1&#46;230"
                        "paginaFinal" => "1&#46;235"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8252992"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nosocomial pneumonia in ventilated patients&#58; a cohort study evaluating attributable mortality and hospital stay"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;Y&#46; Fagon"
                            1 => "J&#46; Chastre"
                            2 => "A&#46;J&#46; Hance"
                            3 => "P&#46; Montravers"
                            4 => "A&#46; Novara"
                            5 => "C&#46; Gibert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Med"
                        "fecha" => "1993"
                        "volumen" => "94"
                        "paginaInicial" => "281"
                        "paginaFinal" => "288"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8452152"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of nosocomial pneumonia in mechanically ventilated patients&#58; comparison of a plugged telescoping catheter with the protected specimen brush"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;H&#46; Pham"
                            1 => "C&#46; Brun-Buisson"
                            2 => "P&#46; Legrand"
                            3 => "A&#46; Rauss"
                            4 => "F&#46; Verra"
                            5 => "L&#46; Brochard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/143.6.1381"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1991"
                        "volumen" => "143"
                        "paginaInicial" => "1&#46;055"
                        "paginaFinal" => "1&#46;061"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2048826"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673606679622"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of nosocomial pneumonia in mechanically ventilated patients by the blind protected telescoping catheter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Jord&#224;"
                            1 => "F&#46; Parras"
                            2 => "J&#46; Ib&#225;&#241;ez"
                            3 => "J&#46; Reina"
                            4 => "J&#46; Bergad&#224;"
                            5 => "J&#46;M&#46; Raurich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1993"
                        "volumen" => "19"
                        "paginaInicial" => "377"
                        "paginaFinal" => "382"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8270716"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic value of telescoping plugged catheters in mechanically ventilated patients with bacterial pneumonia using the M&#232;tras catheter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Torres"
                            1 => "J&#46;P&#46; De la Bellacasa"
                            2 => "R&#46; Rodr&#237;guez-Roisin"
                            3 => "M&#46;T&#46; Jim&#233;nez de Anta"
                            4 => "A&#46; Agust&#237;-Vidal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/138.1.117"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1988"
                        "volumen" => "138"
                        "paginaInicial" => "117"
                        "paginaFinal" => "120"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3202391"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quantitative cultures of endotracheal aspirates for the diagnosis of ventilator-associated pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; El-Ebiary"
                            1 => "A&#46; Torres"
                            2 => "J&#46; Gonz&#225;lez"
                            3 => "J&#46; Puig de la Bellacasa"
                            4 => "C&#46; Garc&#237;a"
                            5 => "M&#46;T&#46; Jim&#233;nez de Anta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/148.6_Pt_2.S79"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1993"
                        "volumen" => "148"
                        "paginaInicial" => "1&#46;552"
                        "paginaFinal" => "1&#46;557"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8256927"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673606695135"
                          "estado" => "S300"
                          "issn" => "01406736"
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                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic efficiency of endotracheal aspirates with quantitative bacterial cultures in intubated patients with suspected pneumonia&#46; Comparison with protected specimen brush&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;H&#46; Marquette"
                            1 => "H&#46; Georges"
                            2 => "F&#46; Wallet"
                            3 => "P&#46; Ramon"
                            4 => "F&#46; Saulnier"
                            5 => "R&#46; Neviere"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/148.1.138"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1993"
                        "volumen" => "148"
                        "paginaInicial" => "138"
                        "paginaFinal" => "144"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8317789"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A reappraisal of blind bronchial sampling in the microbiologic diagnosis of nosocomial bronchopneumonia&#46; A comparative study in ventilated patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Papazian"
                            1 => "C&#46; Martin"
                            2 => "B&#46; Meric"
                            3 => "J&#46;F&#46; Dumon"
                            4 => "F&#46; Gouin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "103"
                        "paginaInicial" => "236"
                        "paginaFinal" => "242"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8417886"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison of four methods for assesing airway bacteriology in intubated mechanically ventilated patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Middleton"
                            1 => "W&#46;A&#46; Broughton"
                            2 => "M&#46;B&#46; Kirkpatrick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Med Sci"
                        "fecha" => "1992"
                        "volumen" => "304"
                        "paginaInicial" => "239"
                        "paginaFinal" => "245"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1415319"
                            "web" => "Medline"
                          ]
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              ]
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            33 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quantification of BAL cells containing intracellular bacteria rapidly identifies ventilated patients with nosocomial pneumonia"
                      "autores" => array:1 [
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                          "etal" => true
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                            1 => "J&#46;Y&#46; Fagon"
                            2 => "P&#46; Soler"
                            3 => "Y&#46; Domart"
                            4 => "J&#46; Pierre"
                            5 => "M&#46;C&#46; Dombret"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
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                        "fecha" => "1989"
                        "volumen" => "95"
                        "numero" => "Supl"
                        "paginaInicial" => "190"
                        "paginaFinal" => "192"
                        "link" => array:1 [
                          0 => array:2 [
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                      "titulo" => "Management of bacterial pneumonia in ventilated patients&#46; Protected bronchoalveolar lavage as a diagnostic tool"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1735280"
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                            3 => "M&#46;R&#46; Jacobs"
                            4 => "E&#46; Eckstein"
                            5 => "D&#46; Tweardy"
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                        "tituloSerie" => "Am Rev Resp Dis"
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                        "paginaFinal" => "432"
                        "link" => array:1 [
                          0 => array:2 [
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                          0 => array:2 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8432151"
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                        "tituloSerie" => "J Antimicrob Chemother"
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                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1994"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8214941"
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