VAP Children's Hospital Pittsburgh PROPHY VAP: Ceftriaxone to prevent early ventilator associated pneumonia The Bottom Line Prevention of ventilator associated pneumonia ESCNH European Standards of Care for Newborn Health The Challenge. The Evidence. The Solution. Ventilator Associated Pneumonia (VAP) remains a serious clinical issue in UK ICUs with NHS England data estimating 3,0006,000 deaths per year and treatment costs of 10,00020,000