Diagnosing ventilator-associated pneumonia in pediatric intensive care

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

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acinetobacter baumannii / isolation & purification
  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Centers for Disease Control and Prevention, U.S.
  • Child
  • Child, Preschool
  • Critical Illness / therapy
  • Enterobacteriaceae / isolation & purification
  • Female
  • Humans
  • Incidence
  • Infant
  • Intensive Care Units, Pediatric*
  • Male
  • Pneumonia, Ventilator-Associated / diagnosis*
  • Pneumonia, Ventilator-Associated / epidemiology*
  • Pneumonia, Ventilator-Associated / microbiology
  • Pseudomonas aeruginosa / isolation & purification
  • Retrospective Studies
  • Staphylococcus aureus / isolation & purification
  • Stenotrophomonas maltophilia / isolation & purification
  • United States
  • Ventilators, Mechanical

Substances

  • Anti-Bacterial Agents