VAP - Ventilator Associated Pneumonia: Difference between revisions

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== Onset of infection:==
== 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 sent until after the 48 hrs on a ventilator.  A patient must have at least 2 symptoms from the list below within the first 48 hours on a ventilator to constitute a non-VAP pneumonia: (CAP or aspiration)
* 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 sent until after the 48 hrs on a ventilator.  If a patient has at least 2 symptoms from the list below within the first 48 hours on a ventilator, it is not a VAP because the onset of infection is prior to the 48 hour mark. 
*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)