Interobserver variability in ventilator-associated pneumonia surveillance

被引:157
作者
Klompas, Michael [1 ,2 ]
机构
[1] Harvard Univ, Sch Med, Dept Populat Med, Boston, MA 02245 USA
[2] Harvard Pilgrim Hlth Care Inst, Boston, MA USA
关键词
Ventilator-associated pneumonia; infection surveillance; health care-associated infections; INFECTIONS; ACCURACY;
D O I
10.1016/j.ajic.2009.10.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Three infection control personnel and 1 physician independently evaluated 50 ventilated patients for ventilator-associated pneumonia through retrospective chart reviews. The infection control reviewers used Centers for Disease Control and Prevention criteria; the physician used clinical judgment. Infection control personnel labelled between 11 and 20 patients with VAP (kappa = 0.40). The physician diagnosed 7 cases. Interobserver variability in the assessment of ventilator-associated pneumonia is high.
引用
收藏
页码:237 / 239
页数:3
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