VAP - Ventilator Associated Pneumonia: Difference between revisions

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Patients might be treated for infection with these pathogens, but we should still not code them as VAP. In that case you might be able to code it as a [[HAP]] or [[CAP]].

===~~Arrived with community acquired~~ pneumonia ~~and develops VAP===~~

=== Recurrent/ongoing pneumonia ===

If a patient is admitted with a CAP and then after 48 hours of ventilation develops what looks like a VAP it is only a VAP if it is a different organism than the CAP organism and they meet the VAP criteria. Infiltrates need to be persistent or worsening and the VAP criteria needs to be met.

If a patient had any pneumonia (incl [[HAP]] or [[CAP]] 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''' and has persistent or worsening infiltrates. If it is the same original organism, then the pneumonia has not completely been resolved. Do not code these as a VAP.

~~=== Recurrent infection~~ ===

If a patient had a pneumonia 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 pneumonia has not completely been resolved. Do not code these as a VAP.

===Long term ventilator patients with pneumonia===

@@ Line 72: / Line 72: @@
 Patients might be treated for infection with these pathogens, but we should still not code them as VAP. In that case you might be able to code it as a [[HAP]] or [[CAP]].
-===Arrived with community acquired pneumonia and develops VAP===
+=== Recurrent/ongoing pneumonia ===
-If a patient is admitted with a CAP and then after 48 hours of ventilation develops what looks like a VAP it is only a VAP if it is a different organism than the CAP organism and they meet the VAP criteria. Infiltrates need to be persistent or worsening and the VAP criteria needs to be met.
+If a patient had any pneumonia (incl [[HAP]] or [[CAP]] 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''' and has persistent or worsening infiltrates.  If it is the same original organism, then the pneumonia has not completely been resolved. Do not code these as a VAP.
-=== Recurrent infection ===
-If a patient had a pneumonia 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 pneumonia has not completely been resolved. Do not code these as a VAP.
 ===Long term ventilator patients with pneumonia===