Pneumonia, ventilator-associated (VAP): Difference between revisions
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{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Respiratory}}{{ICD10 category|Pneumonia}}{{ICD10 category|Iatrogenic}}{{ICD10 category|Iatrogenic infection}} | {{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Respiratory}}{{ICD10 category|Pneumonia}}{{ICD10 category|Iatrogenic}}{{ICD10 category|Iatrogenic infection}} | ||
== Additional Info == | == Additional Info == | ||
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*The mechanical ventilation must be delivered via an endotracheal tube or tracheostomy. | *The mechanical ventilation must be delivered via an endotracheal tube or tracheostomy. | ||
*Although it is arbitrary, for this purpose we will consider "intermittent ventilation" to mean this: Over the 48 hours prior to the identification of the VAP, that the patient had been on the ventilator, via an ETT or trach, at least twice for periods of at least 1 hour each. | *Although it is arbitrary, for this purpose we will consider "intermittent ventilation" to mean this: Over the 48 hours prior to the identification of the VAP, that the patient had been on the ventilator, via an ETT or trach, at least twice for periods of at least 1 hour each. | ||
{{Discuss | who = Allan| question = | {{Discuss | who = Allan | question = | ||
*If a patient is clearly immunocompromised (on Prednisone for a long time) and develops what looks like a VAP except that he never had a fever or a white count to fit the current criteria (because he is immunosuppressed), ''should we have something in the criteria to address this scenario''? I assume we should still call it a VAP as long as all the other criteria is met. Laura K. --[[User:TOstryzniuk|Trish Ostryzniuk]] 12:06, 2019 May 1 (CDT) | |||
*hey Laura, is your question now answered below? If yes you can take out this question. thanks}} | |||
*Regarding whether ALL evidence/symptoms/signs of the pneumonia must be absent for the 48 hours after intubation for it to be called a VAP: | *Regarding whether ALL evidence/symptoms/signs of the pneumonia must be absent for the 48 hours after intubation for it to be called a VAP: | ||