VAP - Ventilator Associated Pneumonia: Difference between revisions
No edit summary |
|||
| Line 35: | Line 35: | ||
==NOTE for clarification of onset of infection:== | ==NOTE for clarification of onset of infection:== | ||
* Because the onset of an infection (pneumonia) can begin prior to the 48 hours on a ventilator, it is important to rule out these patients in the VAP criteria because often we do not have a positive culture until after the 48 hrs on a ventilator. | * Because the onset of an infection (pneumonia) can begin prior to the 48 hours on a ventilator, it is important to rule out these patients in the VAP criteria because often we do not have a positive culture until after the 48 hrs on a ventilator. A patient must have at lease 2 symptoms from the list below within the first 48 hours on a ventilator to constitute a non-VAP pneumonia: (CAP or aspiration) | ||
*1. CXR infiltrates | *1. CXR infiltrates | ||
*2. increased WBC or fever (with no other infective source identified) | *2. increased WBC or fever (with no other infective source identified) | ||
*3. starting to have purulent secretions | *3. starting to have purulent secretions | ||
*4. increased ventilation requirements (for no other reason). | *4. increased ventilation requirements (for no other reason). | ||
==The [[CDC]] VAP Survellance, PATHOGEN EXCLUSION list== | ==The [[CDC]] VAP Survellance, PATHOGEN EXCLUSION list== | ||