Abstract
Ventilator-associated pneumonia (VAP) occurs greater than 48 hours following endotracheal intubation and is a clinical diagnosis with no gold standard diagnostic criterion. The Clinical Pulmonary Infection Score (CPIS) is a tool used to aid diagnosis and comprises a clinical score of 0-12 based on 6 variables: body temperature, leukocyte count, volume and character of tracheal secretions, arterial oxygenation, chest radiograph findings and results of culture of tracheal aspirates. A score of ≥ 6 has been shown to correlate with the presence of VAP with high sensitivity although low specificity [1]
Highlights
Ventilator-associated pneumonia (VAP) occurs greater than 48 hours following endotracheal intubation and is a clinical diagnosis with no gold standard diagnostic criterion
We reviewed all patients diagnosed with VAP to assess causative organisms, antibiotic treatments and admission specialty
There were 118 potential episodes of VAP identified using a Clinical Pulmonary Infection Score (CPIS) ≥ 6 in patients admitted over a five year period
Summary
Ventilator-associated pneumonia (VAP) occurs greater than 48 hours following endotracheal intubation and is a clinical diagnosis with no gold standard diagnostic criterion. The Clinical Pulmonary Infection Score (CPIS) is a tool used to aid diagnosis and comprises a clinical score of 0-12 based on 6 variables: body temperature, leukocyte count, volume and character of tracheal secretions, arterial oxygenation, chest radiograph findings and results of culture of tracheal aspirates. A score of ≥ 6 has been shown to correlate with the presence of VAP with high sensitivity low specificity [1]
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