VAP - Ventilator Associated Pneumonia: Difference between revisions

Line 69:

If the pathogen is isolated from cultures of: LUNG TISSUE or PLEURAL FLUID, these organisms '''MAY BE''' reported as Possible or Probable VAP pathogens.

These organisms are excluded because they are common upper respiratory tract commensals, colonizers or contaminants, and are unusual causes of VAP.

Pathogens isolated from one of the following '''may NOT''' be listed as cause of VAP:

* sputum

* endotracheal aspirates

* bronchoalveolar lavages

* protected specimen brushings

{{discussion}} Question for Allan: Why are the last three of these not allowed? Laura said she saw this in the CDC definition, but it didn't make sense.

~~SPUTUM, ENDOTRACHEAL ASPIRATES, BRONCHOALVEOLAR LAVAGES or PROTECTED SPECIMEN BRUSHINGS then they~~

*''These organisms are excluded because they are common upper respiratory tract commensals, colonizers or contaminants, and are unusual causes of VAP''

NOTE: Their exclusion from the SURVEILLANCE DEFINITION should NOT be used in clinical decision-making regarding '''patient treatment.''' Providers must independently determine the clinical significance of these organisms isolated from respiratory specimen cultures and the '''need for treatment.''' -[[User:TOstryzniuk|Trish Ostryzniuk]] 18:29, 2013 October 7 (CDT)

@@ Line 69: / Line 69: @@
 If the pathogen is isolated from cultures of:  LUNG TISSUE or PLEURAL FLUID, these organisms '''MAY BE''' reported as Possible or Probable VAP pathogens.
+These organisms are excluded because they are common upper respiratory tract commensals, colonizers or contaminants, and are unusual causes of VAP.
 Pathogens isolated from one of the following '''may NOT''' be listed as cause of VAP:
+* sputum
+* endotracheal aspirates
+* bronchoalveolar lavages
+* protected specimen brushings
+{{discussion}} Question for Allan: Why are the last three of these not allowed? Laura said she saw this in the CDC definition, but it didn't make sense.
-SPUTUM, ENDOTRACHEAL ASPIRATES, BRONCHOALVEOLAR LAVAGES or PROTECTED SPECIMEN BRUSHINGS then they
-*''These organisms are excluded because they are common upper respiratory tract commensals, colonizers or contaminants, and are unusual causes of VAP''
 NOTE: Their exclusion from the SURVEILLANCE DEFINITION should NOT be used in clinical decision-making regarding '''patient treatment.'''  Providers must independently determine the clinical significance of these organisms isolated from respiratory specimen cultures and the '''need for treatment.''' -[[User:TOstryzniuk|Trish Ostryzniuk]] 18:29, 2013 October 7 (CDT)