VAP - Ventilator Associated Pneumonia: Difference between revisions

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'''Code the diagnosis VAP only if these criteria are met.''' The doctors may or may not be calling it a VAP but this has no bearing on the way we collect the information. Be sure to adhere''' strictly to these criteria '''.:

'''If''' a patient has been on a device to assist respiration (ventilator) either continuously or intermittently through a tracheostomy or endotracheal tube (ETT) for at least '''48 hours''' while in a ICU unit '''before onset of infection, or new infection.''' (keep in mind transfers between ICU, in that patient ~~was already~~ on ventilator for 48 hrs or more prior to ~~coming~~ to your ICU.

'''If''' a patient has been on a device to assist respiration (ventilator) either continuously or intermittently through a tracheostomy or endotracheal tube (ETT) for at least '''48 hours''' while in a ICU unit '''before onset of infection, or new infection.''' (keep in mind transfers between ICU, in that a patient could aready have been on a ventilator for 48 hrs or more prior to transferring into to your ICU).

*If a patient had a CAP or HAP previously during the same admission and then develops pneumonia again, meeting the VAP criteria, it is only a VAP if it is a new organism. If it is the same original organism, then the CAP or HAP has not completely been resolved. Do not code these as a VAP.

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 '''Code the diagnosis VAP only if these criteria are met.''' The doctors may or may not be calling it a VAP but this has no bearing on the way we collect the information. Be sure to adhere''' strictly to these criteria '''.:
-'''If''' a patient has been on a device to assist respiration (ventilator) either continuously or intermittently through a tracheostomy or endotracheal tube (ETT) for at least '''48 hours''' while in a ICU unit '''before onset of infection, or new infection.''' (keep in mind transfers between ICU, in that patient was already on ventilator for 48 hrs or more prior to coming to your ICU.
+'''If''' a patient has been on a device to assist respiration (ventilator) either continuously or intermittently through a tracheostomy or endotracheal tube (ETT) for at least '''48 hours''' while in a ICU unit '''before onset of infection, or new infection.''' (keep in mind transfers between ICU, in that a patient could aready have been on a ventilator for 48 hrs or more prior to transferring into to your ICU).
 *If a patient had a CAP or HAP previously during the same admission and then develops pneumonia again, meeting the VAP criteria, it is only a VAP if it is a new organism.  If it is the same original organism, then the CAP or HAP has not completely been resolved.   Do not code these as a VAP.