VAP - Ventilator Associated Pneumonia: Difference between revisions

Line 12:

'''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's, in that a patient could aready have been on a ventilator for 48 hrs or more prior to transferring into to your ICU.

**If patient is transfered in from another ICU and has met the criteria of VAP including +ve sputum in '''less than 48 hrs ~~or more~~''' while in your ICU unit, then the credit for the VAP should go to previous ICU.

**If patient is transfered in from another ICU and has met the criteria of VAP including +ve sputum in '''less than 48 hrs''' while in your ICU unit, then the credit for the VAP should go to previous 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.

@@ Line 12: / Line 12: @@
 '''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's, in that a patient could aready have been on a ventilator for 48 hrs or more prior to transferring into to your ICU.
-**If patient is transfered in from another ICU and has met the criteria of VAP including +ve sputum in '''less than 48 hrs or more''' while in your ICU unit, then the credit for the VAP should go to previous ICU.
+**If patient is transfered in from another ICU and has met the criteria of VAP including +ve sputum in '''less than 48 hrs''' while in your ICU unit, then the credit for the VAP should go to previous 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.