Pneumonia, ventilator-associated (VAP): Difference between revisions
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=== Attribution of the VAP to a Hospital Location === | === Attribution of the VAP to a Hospital Location === | ||
*The infection is attributed to the location where the patient was on the date the infection became clinically evident...... | *The infection is attributed to the location where the patient was on the date the infection became clinically evident...... | ||
*EXCEPT if all elements of the infection are present | *EXCEPT if all elements of the infection are present within the first 48 hours of arrival, the infection is attributed to the location from which they were transferred. | ||
*The CDC case definition explicitly states that these rules should be followed -- that the physician’s statement of where the infection was acquired should not be substituted for these rules. | *The CDC case definition explicitly states that these rules should be followed -- that the physician’s statement of where the infection was acquired should not be substituted for these rules. | ||
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1. VAP is an infectious pneumonia in a patient who, as of the day it was identified (“day of event”) had been on mechanical ventilation (MV), either continuously or intermittently for at least 48 hours before onset of infection. | 1. VAP is an infectious pneumonia in a patient who, as of the day it was identified (“day of event”) had been on mechanical ventilation (MV), either continuously or intermittently for at least 48 hours before onset of infection. | ||
*The mechanical ventilation must be delivered via an endotracheal tube or tracheostomy. | *The mechanical ventilation must be delivered via an endotracheal tube or tracheostomy. | ||
2. Has at least ONE of the following 3 things: | 2. Has at least ONE of the following 3 things: | ||