Journal ArticleDOI
Developing a New, National Approach to Surveillance for Ventilator-Associated Events*
Shelley S. Magill,Michael Klompas,Robert A. Balk,Robert A. Balk,Suzanne M. Burns,Suzanne M. Burns,Clifford S. Deutschman,Clifford S. Deutschman,Daniel J. Diekema,Scott K. Fridkin,Linda Greene,Alice Guh,David D. Gutterman,David D. Gutterman,Beth Hammer,Beth Hammer,David K. Henderson,Dean R. Hess,Dean R. Hess,Nicholas S. Hill,Nicholas S. Hill,Teresa C. Horan,Marin H. Kollef,Marin H. Kollef,Mitchell M. Levy,Mitchell M. Levy,Edward Septimus,Edward Septimus,Carole VanAntwerpen,Carole VanAntwerpen,Don Wright,Pamela A. Lipsett +31 more
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TLDR
Ventilator-associated events surveillance was implemented in January 2013 in the CDC’s National Healthcare Safety Network and can identify a broad range of conditions and complications occurring in mechanically ventilated adult patients, including but not limited to VAP.Abstract:
Objective:To develop and implement an objective, reliable approach to surveillance for ventilator-associated events in adult patients.Design:The Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group in September 2011.read more
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Journal ArticleDOI
Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals: 2014 Update
Michael Klompas,Richard D. Branson,Eric C. Eichenwald,Linda Greene,Michael D. Howell,Grace M. Lee,Shelley S. Magill,Lisa L. Maragakis,Gregory P. Priebe,Kathleen Speck,Deborah S. Yokoe,Sean M. Berenholtz +11 more
TL;DR: This expert guidance document is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America, the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise.
Journal Article
Validation of different techniques for the diagnosis of ventilator-associated pneumonia : comparison with immediate postmortem pulmonary biopsy
Antoni Torres,Mustafa El-Ebiary,L. Padro,Juliá González,J P de la Bellacasa,José Ramírez,Antoni Xaubet,Miquel Ferrer,Robert Rodriguez-Roisin +8 more
TL;DR: In this article, the authors compared the results of these techniques with the histopathology of immediate postmortem pulmonary biopsies, considered the gold standard reference test, to assess the accuracy of clinical parameters for the diagnosis of ventilatorassociated pneumonia.
Journal ArticleDOI
Bronchoscopic or Blind Sampling Techniques for Diagnosis of Ventilator-Associated Pneumonia
L. Papazian,Pascal Thomas,L Garbe,I. Guignon,X Thirion,J Charrel,C Bollet,Pierre Fuentes,F Gouin +8 more
TL;DR: Clinical characteristics of the patients, including post-surgical status, previous trauma, simplified acute physiologic score, APACHE II score, McCabe score, body temperature, white blood cell count, Po2, Pco2, and radiologic score were not able to distinguish patients with pneumonia from those without pneumonia.
Journal ArticleDOI
Short-course versus prolonged-course antibiotic therapy for hospital-acquired pneumonia in critically ill adults.
TL;DR: For patients with VAP not due to NF-GNB a short, fixed course (seven or eight days) of antibiotic therapy appears not to increase the risk of adverse clinical outcomes, and may reduce the emergence of resistant organisms, compared with a prolonged course.
Journal ArticleDOI
The preventability of ventilator-associated events. The CDC Prevention Epicenters Wake Up and Breathe Collaborative.
Michael Klompas,Deverick J. Anderson,William E. Trick,Hilary M. Babcock,Meeta Prasad Kerlin,Lingling Li,Ronda L. Sinkowitz-Cochran,E. Wesley Ely,John A. Jernigan,Shelley S. Magill,Rosie D. Lyles,Caroline A O'Neil,Barrett T. Kitch,Ellen Arrington,Michele C. Balas,Ken Kleinman,Christina B Bruce,Julie Lankiewicz,Michael V. Murphy,Christopher E. Cox,Ebbing Lautenbach,Daniel J. Sexton,Victoria J. Fraser,Robert A. Weinstein,Richard Platt +24 more
TL;DR: Enhanced performance of paired, daily SATs and SBTs is associated with lower VAE rates, and significant increases in SATs, SBTs, and percentage of SBTs performed without sedation were mirrored by significant decreases in duration of mechanical ventilation and hospital length ofstay.
References
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Journal ArticleDOI
CDC definitions for nosocomial infections, 1988
TL;DR: The Centers for Disease Control (CDC) developed a new set of definitions for surveillance of nosocomial infections as mentioned in this paper, which combine specific clinical findings with results of laboratory and other tests that include recent advances in diagnostic technology.
Journal Article
CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting.
TL;DR: In this article, the NHSN criteria for all healthcare-associated infections (HAIs) are presented, including those for the "Big Four" (surgical site infection [SSI], pneumonia [PNEU], bloodstream infection [BSI] and urinary tract infection [UTI]).
Journal ArticleDOI
Diagnosis of Ventilator-associated Pneumonia by Bacteriologic Analysis of Bronchoscopic and Nonbronchoscopic “Blind” Bronchoalveolar Lavage Fluid
TL;DR: A good correlation between clinical score and quantitative bacteriology was observed and patients with pulmonary infection could be distinguished by a BI greater than or equal to 5 with a sensitivity of 93% and a specificity of 100% (B-BAL).
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Attributable mortality of ventilator-associated pneumonia: a meta-analysis of individual patient data from randomised prevention studies
Wilhelmina G. Melsen,Maroeska M. Rovers,Maroeska M. Rovers,Rolf H.H. Groenwold,Dennis C J J Bergmans,Christophe Camus,Torsten T. Bauer,Ernst Hanisch,Bengt Klarin,Mirelle Koeman,Wolfgang A. Krueger,Jean Claude Lacherade,Leonardo Lorente,Ziad A. Memish,Lee E. Morrow,Giuseppe Nardi,Christianne A. van Nieuwenhoven,Grant E. O'Keefe,George Nakos,Frank A. Scannapieco,Philippe Seguin,Thomas Staudinger,Arzu Topeli,Miquel Ferrer,Marc J. M. Bonten +24 more