Pneumonia, ventilator-associated (VAP): Difference between revisions
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{{Discussion}}===Questions about the criteria change?=== | {{Discussion}}===Questions about the criteria change?=== | ||
*under the heading notes to collectors:"NOTE that sputum culture is NOT part of the criteria -- the reason is that sputum is virtually never culture negative in intubated patients, even without infection." When you say sputum culture do you mean endotracheal tube aspirated sputum is excluded from the VAP criteria? | *under the heading notes to collectors:"NOTE that sputum culture is NOT part of the criteria -- the reason is that sputum is virtually never culture negative in intubated patients, even without infection." When you say sputum culture do you mean endotracheal tube aspirated sputum is excluded from the VAP criteria? | ||
*Yes, this means endotracheal tube secretions.(checked with Dr. Garland)--[[User:LKolesar|LKolesar]] 09:47, 2018 July 26 (CDT) | |||
* If we are not including endotracheal aspirated cultures and a patient meets the VAP criteria but doesn't have a culture from an acceptable source how do we code the following: A patient grows MRSA in the ETC secretions,meets the VAP criteria 1,2,3,4 and 5A. How do we code the pathogen when it comes from an unacceptable source? Is it included in our data collection or not and how? | * If we are not including endotracheal aspirated cultures and a patient meets the VAP criteria but doesn't have a culture from an acceptable source how do we code the following: A patient grows MRSA in the ETC secretions,meets the VAP criteria 1,2,3,4 and 5A. How do we code the pathogen when it comes from an unacceptable source? Is it included in our data collection or not and how? | ||
*Yes, we still would put the pathogen in our diagnostic codes if one if available even though the positive culture is not part of the criteria. (checked with Dr. Garland)--[[User:LKolesar|LKolesar]] 09:47, 2018 July 26 (CDT) | |||
*Under new CDC list:Why would it be acceptable to take ETT cultures (with blood) for immunocompromised patients? Wouldn't those ETT cultures be just as contaminated as any other patients? Shouldn't they also have cultures from an acceptable source? | *Under new CDC list:Why would it be acceptable to take ETT cultures (with blood) for immunocompromised patients? Wouldn't those ETT cultures be just as contaminated as any other patients? Shouldn't they also have cultures from an acceptable source? | ||
*When talking about BAL are you talking about secretions obtained via bronch? | *When talking about BAL are you talking about secretions obtained via bronch? | ||
*Yes, a BAL is a bronch. | |||
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