Abstract
The Clinical Pulmonary Infection Score (CPIS) assigns a numerical score to physiologic, laboratory and radiographic changes in the ventilated patient to improve the diagnostic accuracy of ventilator-associated pneumonia (VAP). CPIS has been reported to be a useful tool in the diagnosis of VAP in the critical care setting. However, the systemic inflammation associated with injury may limit the utility of CPIS for burn patients. The purpose of this study was to determine the potential utility of CPIS in the management of burn patients. We performed a retrospective review of all patients treated in our burn center who underwent quantitative culture, either by fiberoptic bronchoalveolar lavage or non-bronchoscopic bronchoalveolar lavage (mini-BAL), to diagnose VAP from 2003–2005. CPIS was retrospectively calculated for each patient on the day of the procedure. The presence of VAP was determined based on quantitative cultures ≥104 cfu/mL. The CPIS scores of patients with and without pneumonia...
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