Ventilator-associated pneumonia (VAP) is one of the most frequent ICU-acquired infections. Reported incidences vary widely from 5 to 40% depending on the setting and diagnostic criteria. VAP is associated with prolonged duration of mechanical ventilation and ICU stay.

Sep 4, 2023 · Ventilator-associated pneumonia (VAP) occurs in patients that have been on mechanical ventilation for more than 48 hours. It presents with clinical signs that include purulent tracheal discharge, fevers, and respiratory distress in the presence of microorganisms.

Diagnosing VAP requires a high clinical suspicion combined with bedside examination, radiographic examination, and microbiologic analysis of respiratory secretions. Aggressive surveillance is vital in understanding local factors leading to …

Aug 25, 2024 · There are roughly four sources of clinical information that should be rapidly available when considering the possibility of VAP. Try to consider all evidence rather than anchoring on a single bit of evidence. Sensitivity ~64%, specificity ~59%. Left-shift, neutrophil/lymphocyte ratio. Sensitivity 66%; specificity 54%. Hypothermia. Septic shock.

Ventilator-associated pneumonia (VAP) is the most common and fatal ICU-acquired infection (1). Despite this frequency, morbidity, and cost, critical care practitioners have struggled for nearly half a century to consistently make an accurate VAP diagnosis.

Occurs in 9-27% of mechanically ventilated patients, with about five cases per 1000 ventilator days. Most common nosocomial infection in the ICU. 1-3% risk of VAP per day that the patient is intubated (highest early in the course of hospitalization).

Jan 5, 2025 · This review focuses on VAP, aiming to offer valuable insights into the efficient identification and management of this fatal complication in post-cardiac arrest patients.

Cefipime, imipenem, OR piperacillin-tazobactam + gent + azithromycin Cefipime, imipenem, OR piperacillin-tazobactam + gent + cipro / levo Prophylaxis VAP rates decreased with chlorhexidine oral decontamination Head of bed at 30 degrees decreases passive aspiration and VAP [2] Stress ulcer prophylaxis likely has small increase in VAP rates See Also

Jun 24, 2020 · Ventilator-associated pneumonia is defined as pneumonia occurring more than 48 hours after patients have been intubated and started on mechanical ventilation 5. It may complicate the course of 8 to 28% of patients receiving mechanical ventilation.

Ventilator-associated pneumonia (VAP) is the most common healthcare-associated infection in adult critical care units. VAP is associated with increased intensive care unit stay, patient ventilator days, and mortality. There is no agreed de finition of VAP.