VAP - Ventilator Associated Pneumonia: Difference between revisions
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* Infiltrates that are present on admission (ie CAP) need to persist/ worsen and also meet the VAP criteria to code VAP. | * Infiltrates that are present on admission (ie CAP) need to persist/ worsen and also meet the VAP criteria to code VAP. | ||
== 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. 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. | * 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 | ||