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VAP in the ICU

Home VAP in the ICU
[az_special_heading heading_type=”2″ heading_color=”custom” heading_style=”default” heading_align=”textaligncenter” padding_bottom_heading=”0″ animation_loading=”yes” animation_loading_effects=”scale_up” custom_heading_color=”#000000″]VAP in the ICU[/az_special_heading]
[az_box_icon animation_loading=”yes” animation_loading_effects=”move_left” icon=”font-icon-book” title=”The Paper” position=”left”] [/az_box_icon]

Ventilator-associated Pneumonia in the ICU

Kalanuria AA, Zai W, Mirski M. Critical Care 2014;18:208. PMCID: PMC4056625

[az_box_icon animation_loading=”yes” animation_loading_effects=”move_left” icon=”font-icon-question” title=”A SUMMARY” position=”left”] [/az_box_icon]

VAP contributes to approximately half of all cases of hospital-acquired pneumonia and approximately 50% of antibiotics used in ICU’s are for treatment of VAP. This review article is accompanied by excellent tables on recommended therapy for suspected or confirmed multidrug resistant organisms and fungal VAP and also on preventative measures which are divided into ICU and Institution focused measures.  

[az_box_icon animation_loading=”yes” animation_loading_effects=”move_left” icon=”font-icon-quote” title=”My Take” position=”left”] [/az_box_icon]

Unfortunately there is still no universally accepted, gold standard diagnostic criterion for VAP.

The clinical pulmonary infection score (CPIS) is used to generate a numerical value between zero and 12 with a score of  greater or equal to 6 showing good correlation with the presence of VAP.

I personally haven’t used this but am planning to trial it on my next clinical week.

Have you used this scoring system, if so let us know what you thought?

[az_box_icon animation_loading=”yes” animation_loading_effects=”move_left” icon=”font-icon-user” title=”Post Author” position=”left”]

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[az_lightbox_image image=”8211″ animation_loading=”yes” animation_loading_effects=”fade_in” title=”Nudrat Rashid, Intensivist at Royal North Shore Hospital”]
[az_social_profile googleplus=”https://plus.google.com/115002401047643811418/posts” twitter=”https://twitter.com/NudratRashid” facebook=”https://www.facebook.com/nudrat.rashid?fref=browse_search” linkedin=”https://www.linkedin.com/pub/nudrat-rashid/39/57b/a22″]

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