Diagnosing ventilator-associated pneumonia in pediatric intensive care

被引：15

作者：

Iosifidis, Elias ^{[1
]}

Stabouli, Stella ^{[2
]}

Tsolaki, Anastasia ^{[2
]}

Sigounas, Vaios ^{[3
]}

Panagiotidou, Emilia-Barbara ^{[2
]}

Sdougka, Maria ^{[2
]}

Roilides, Emmanuel ^{[1
]}

机构：

[1] Aristotle Univ Thessaloniki, Sch Med, Hippokrat Hosp, Infect Dis Unit,Dept Pediat 3, GR-54006 Thessaloniki, Greece

[2] Hippokrateion Hosp, Pediat Intens Care Unit, GR-54642 Thessaloniki, Greece

[3] Hippokrateion Hosp, Dept Radiol, GR-54642 Thessaloniki, Greece

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2015年 / 43卷 / 04期

关键词：

Health care-eassociated infection; Radiology; Pediatric intensive care; Pneumonia; Mechanical ventilation; Chest radiograph;

D O I：

10.1016/j.ajic.2015.01.004

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The Centers for Disease Control and Prevention's criteria were applied by independent investigators for ventilator-associated pneumonia (VAP) diagnosis in critically ill children and compared with tracheal aspirate cultures (TACs). In addition, correlation between antibiotic use, VAP incidence, and epidemiology of TACs was investigated. A modest agreement (kappa = 0.41) was found on radiologic findings between 2 investigators. VAP incidence was 7.7 episodes per 1,000 ventilator days, but positive TACs were the most significant factor for driving high antimicrobial usage in the pediatric intensive care unit. Copyright (C) 2015 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：390 / 393

页数：4

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