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. 2015 Apr 1;43(4):390-3.
doi: 10.1016/j.ajic.2015.01.004. Epub 2015 Feb 20.

Diagnosing ventilator-associated pneumonia in pediatric intensive care

Elias Iosifidis  1 , Stella Stabouli  2 , Anastasia Tsolaki  2 , Vaios Sigounas  3 , Emilia-Barbara Panagiotidou  2 , Maria Sdougka  2 , Emmanuel Roilides  4
Affiliations

Diagnosing ventilator-associated pneumonia in pediatric intensive care

Elias Iosifidis et al. Am J Infect Control. .

Abstract

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 (κ = 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.

Keywords: Chest radiograph; Health care–associated infection; Mechanical ventilation; Pediatric intensive care; Pneumonia; Radiology.

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