Ventilator-Associated Pneumonia: New Definitions

被引：82

作者：

Spalding, M. Chance ^{[1
,2
]}

Cripps, Michael W. ^{[3
]}

Minshall, Christian T. ^{[3
]}

机构：

[1] Grant Med Ctr, Dept Surg, 111 South Grant Ave, Columbus, OH 43215 USA

[2] Ohio Univ, Coll Osteopath Med, Dept Surg, 35 West Green Dr, Athens, OH 45701 USA

[3] UT Southwestern, Dept Surg, 5323 Harry Hines Blvd, Dallas, TX 75390 USA

来源：

CRITICAL CARE CLINICS | 2017年 / 33卷 / 02期

关键词：

Ventilator-associated pneumonia; Sepsis; Nosocomial infection; Critical care; INTENSIVE-CARE-UNIT; AUTOMATED SURVEILLANCE; CLINICAL IMPACT; RISK-FACTORS; EVENTS; PREVENTABILITY;

D O I：

10.1016/j.ccc.2016.12.009

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The National Healthcare Safety Network's new classification characterizes all adverse ventilator-associated events (VAE) into a tiered system designed to shift the focus away from ventilator-associated pneumonia as the only important cause or morbidity in ventilated patients. This new surveillance definition of VAE eliminates subjectivity by using clearly defined criteria and facilitates the automated collection of data. This allows for easier comparison and analysis of factors affecting rates of VAE. Numerous studies have been published that demonstrate its clinical application. This article presents the VAE criteria, contrasts the difference from the previous ventilator-associated pneumonia definition, and discusses its implementation over the past 5 years.

引用

页码：277 / +

页数：17

共 22 条

[1] Ventilator-Associated Events: Prevalence, Outcome, and Relationship With Ventilator-Associated Pneumonia [J].

Bouadma, Lila ;

Sonneville, Romain ;

Garrouste-Orgeas, Maite ;

Darmon, Michael ;

Souweine, Bertrand ;

Voiriot, Guillaume ;

Kallel, Hatem ;

Schwebel, Carole ;

Goldgran-Toledano, Dany ;

Dumenil, Anne-Sylvie ;

Argaud, Laurent ;

Ruckly, Stephane ;

Jamali, Samir ;

Planquette, Benjamin ;

Adrie, Christophe ;

Lucet, Jean-Christophe ;

Azoulay, Elie ;

Timsit, Jean-Francois .

CRITICAL CARE MEDICINE, 2015, 43 (09) :1798-1806

[2] A Prospective Evaluation of Ventilator-Associated Conditions and Infection-Related Ventilator-Associated Conditions [J].

Boyer, Anthony F. ;

Schoenberg, Noah ;

Babcock, Hilary ;

McMullen, Kathleen M. ;

Micek, Scott T. ;

Kollef, Marin H. .

CHEST, 2015, 147 (01) :68-81

[3] Differences between novel and conventional surveillance paradigms of ventilator-associated pneumonia [J].

Chang, Hui-Chun ;

Chen, Chin-Ming ;

Kung, Shu-Chen ;

Wang, Ching-Min ;

Liu, Wei-Lun ;

Lai, Chih-Cheng .

AMERICAN JOURNAL OF INFECTION CONTROL, 2015, 43 (02) :133-136

[4] Ventilator-Associated Pneumonia During Weaning From Mechanical Ventilation Role of Fluid Management [J].

Dessap, Armand Mekontso ;

Katsahian, Sandrine ;

Roche-Campo, Ferran ;

Varet, Hugo ;

Kouatchet, Achille ;

Tomicic, Vinko ;

Beduneau, Gaetan ;

Sonneville, Romain ;

Jaber, Samir ;

Darmon, Michael ;

Castanares-Zapatero, Diego ;

Brochard, Laurent ;

Brun-Buisson, Christian .

CHEST, 2014, 146 (01) :58-65

[5] Toward Improved Surveillance: The Impact of Ventilator-Associated Complications on Length of Stay and Antibiotic Use in Patients in Intensive Care Units [J].

Hayashi, Yoshiro ;

Morisawa, Kenichiro ;

Klompas, Michael ;

Jones, Mark ;

Bandeshe, Hiran ;

Boots, Robert ;

Lipman, Jeffrey ;

Paterson, David L. .

CLINICAL INFECTIOUS DISEASES, 2013, 56 (04) :471-477

[6] The Preventability of Ventilator-associated Events The CDC Prevention Epicenters Wake Up and Breathe Collaborative [J].

Klompas, Michael ;

Anderson, Deverick ;

Trick, William ;

Babcock, Hilary ;

Kerlin, Meeta Prasad ;

Li, Lingling ;

Sinkowitz-Cochran, Ronda ;

Ely, E. Wesley ;

Jernigan, John ;

Magill, Shelley ;

Lyles, Rosie ;

O'Neil, Caroline ;

Kitch, Barrett T. ;

Arrington, Ellen ;

Balas, Michele C. ;

Kleinman, Ken ;

Bruce, Christina ;

Lankiewicz, Julie ;

Murphy, Michael V. ;

Cox, Christopher E. ;

Lautenbach, Ebbing ;

Sexton, Daniel ;

Fraser, Victoria ;

Weinstein, Robert A. ;

Platt, Richard .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 191 (03) :292-301

[7] Descriptive Epidemiology and Attributable Morbidity of Ventilator-Associated Events [J].

Klompas, Michael ;

Kleinman, Ken ;

Murphy, Michael V. .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2014, 35 (05) :502-510

[8] Multicenter Evaluation of a Novel Surveillance Paradigm for Complications of Mechanical Ventilation [J].

Klompas, Michael ;

Khan, Yosef ;

Kleinman, Kenneth ;

Evans, R. Scott ;

Lloyd, James F. ;

Stevenson, Kurt ;

Samore, Matthew ;

Platt, Richard .

PLOS ONE, 2011, 6 (03)

[9] Electronic Implementation of a Novel Surveillance Paradigm for Ventilator-associated Events Feasibility and Validation [J].

Klouwenberg, Peter M. C. Klein ;

van Mourik, Maaike S. M. ;

Ong, David S. Y. ;

Horn, Janneke ;

Schultz, Marcus J. ;

Cremer, Olaf L. ;

Bonten, Marc J. M. .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 189 (08) :947-955

[10] Risk Factors for Ventilator-Associated Events: A Case-Control Multivariable Analysis [J].

Lewis, Sarah C. ;

Li, Lingling ;

Murphy, Michael V. ;

Klompas, Michael .

CRITICAL CARE MEDICINE, 2014, 42 (08) :1839-1848

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