Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) on Length of Stay (LOS) among Mechanically Ventilated Cases

Abstract

AbstractBackground: VAP is pneumonia that develops in a me-chanically ventilated patient with a first positive bacterial culture beyond 48 hours after hospital admission or tracheal intubation, whichever occurred first. VAP burden relies on the increase of morbidity, cost, prolonged MV, ICU-Length of Stay (LOS) and hospital-length of stay.Aim of Study: Improve health outcome of patients on Mechanical Ventilation (MV) through early diagnosis of (VAP), early management with appropriate antibiotics pre-scription using Clinical Pulmonary Infection Score (CPIS) and to decrease MV days, ICU-Length of Stay (LOS) and hospital-length of stay.Methods: Operational research, quasi-experimental inter-ventional study design. The study was conducted in the in Critical Care Department in the Faculty of Medicine Cairo-University. The study has 2 phases Phase 1: Recruiting the Control group (40 cases) on MV not using CPIS. Phase 2: Recruiting the Interventional group (40 cases) on MV using CPIS.Results: The most common organism in control group was Klebsiella 25% and in intervention group was MRSA 17.5%. The ICU LOS was significantly lower in patients who were followed by CPIS in intervention group.Conclusion: CPIS considered tool to monitor patient's condition on MV for early modification which in turn reflected on ventilator days and ICU length of stay.