VAP - Ventilator Associated Pneumonia: Difference between revisions

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What about early VAP(within a week of CAP for example) can it develop in a patient with unresolved CAP? Or are we saying the CAP needs to be resolved before we can call anything past the 48 hour mark VAP?

* What about early VAP(within a week of CAP for example) can it develop in a patient with unresolved CAP? Or are we saying the CAP needs to be resolved before we can call anything past the 48 hour mark VAP?

** I believe we chose that definition because it is clear and unambiguous. Any definition that accommodates a possibly resolved CAP would lead to endless discussions, and also would be open to different interpretations by different collectors or physicians. Ttenbergen 09:42, 2017 January 19 (CST)

'''AND''' if they demonstrate new, worsening or persistent infiltrate on x-ray compatible with pneumonia

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* Altered mental status with no other causes in >69 year old.

Need to clarify that of these 3 criteria is it just the fever with no other cause or is it all 3 of the above with no other cause?

* Need to clarify that of these 3 criteria is it just the fever with no other cause or is it all 3 of the above with no other cause?

** How would you interpret "at least one of"? not trying to be snarky here :-) but to me that is absolutely clear, so would be interested to hear an alternate interpretation. Ttenbergen 09:42, 2017 January 19 (CST)

'''AND if at least one''' of the following criteria is met:

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 {{Discussion}}
-What about early VAP(within a week of CAP for example) can it develop in a patient with unresolved CAP? Or are we saying the CAP needs to be resolved before we can call anything past the 48 hour mark VAP?
+* What about early VAP(within a week of CAP for example) can it develop in a patient with unresolved CAP? Or are we saying the CAP needs to be resolved before we can call anything past the 48 hour mark VAP?
+** I believe we chose that definition because it is clear and unambiguous. Any definition that accommodates a possibly resolved CAP would lead to endless discussions, and also would be open to different interpretations by different collectors or physicians. Ttenbergen 09:42, 2017 January 19 (CST)
 '''AND''' if they demonstrate new, worsening or persistent infiltrate on x-ray compatible with pneumonia
@@ Line 22: / Line 23: @@
 *	Altered mental status with no other causes in >69 year old.
 {{Discussion}}
-Need to clarify that of these 3 criteria is it just the fever with no other cause or is it all 3 of the above with no other cause?
+* Need to clarify that of these 3 criteria is it just the fever with no other cause or is it all 3 of the above with no other cause?
+** How would you interpret "at least one of"? not trying to be snarky here :-) but to me that is absolutely clear, so would be interested to hear an alternate interpretation. Ttenbergen 09:42, 2017 January 19 (CST)
 '''AND if at least one''' of the following criteria is met: