VAP - Ventilator Associated Pneumonia: Difference between revisions
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== When to code VAP == | == When to code VAP == | ||
*'''Ventilator Associated Pneumonia (VAP) Criteria''' (based on NNIS definition) | |||
*If a patient has been on a device to assist respiration continuously through a tracheostomy or ETT with the 48 hour period before onset of infection | |||
*And | |||
*If they demonstrate new, worsening or persistent infiltrate on x-ray compatible with pneumonia | |||
*And | |||
*If '''one''' of the following criteria is met: | |||
*• Fever (T > 38) with no other cause | |||
*• Leucopenia (,4000 WBC/mm3) or leukocytosis (12000 WBC/mm3) | |||
*• Altered mental status with no other causes in >69 year old. | |||
*And | |||
*If '''one''' of the following criteria is met: | |||
*• New onset of purulent secretions | |||
*• Change in character of sputum | |||
*• Increased volume of purulent secretions | |||
*• Increased suction requirement | |||
*• New onset or worsening cough | |||
*• New onset of dypsnea or tachypnea | |||
*• Increased oxygen or ventilation requirement | |||
*And | |||
*If '''one''' of the following criteria is met: | |||
*• Pathogen isolated from sputum in the last 48 hours | |||
*• Positive blood cultures not related to another infection | |||
*• Positive pleural fluid culture. | |||
== When not to code VAP == | == When not to code VAP == | ||