“…As reported by Sosa-Hernandez et al, (2019), the incidence of A. baumannii as a causative agent of VAP was higher compared to the other pathogens of the ESKAPE group 12 . Derived from this finding, the positive impact of prospective epidemiological surveillance through implementation of a comprehensive quality improvement plan (CQIP) during the following year was demonstrated 61 . The classical epidemiological approach of case association limits the identification of outbreaks that might go unnoticed.…”