Ventilator-associated pneumonia or not? Contemporary diagnosis
Ventilator-associated pneumonia (VAP) is pneumonia in patients who have been on mechanical ventilation for > or =48 hours. VAP is most accurately diagnosed by quantitative culture and microscopy examination of lower respiratory tract secretions, which are best obtained by bronchoscopically direct...
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| Published in: | Emerging infectious diseases Vol. 7; no. 2; pp. 200 - 204 |
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| Format: | Journal Article |
| Language: | English |
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United States
U.S. National Center for Infectious Diseases
01-03-2001
Centers for Disease Control and Prevention |
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| Abstract | Ventilator-associated pneumonia (VAP) is pneumonia in patients who have been on mechanical ventilation for > or =48 hours. VAP is most accurately diagnosed by quantitative culture and microscopy examination of lower respiratory tract secretions, which are best obtained by bronchoscopically directed techniques such as the protected specimen brush and bronchoalveolar lavage. These techniques have acceptable repeatability, and interpretation of results is unaffected by antibiotics administered concurrently for infection at extrapulmonary sites as long as antimicrobial therapy has not been changed for <72 hours before bronchoscopy. |
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| AbstractList | Ventilator-associated pneumonia (VAP) is pneumonia in patients who have been on mechanical ventilation for > or =48 hours. VAP is most accurately diagnosed by quantitative culture and microscopy examination of lower respiratory tract secretions, which are best obtained by bronchoscopically directed techniques such as the protected specimen brush and bronchoalveolar lavage. These techniques have acceptable repeatability, and interpretation of results is unaffected by antibiotics administered concurrently for infection at extrapulmonary sites as long as antimicrobial therapy has not been changed for <72 hours before bronchoscopy. Ventilator-associated pneumonia (VAP) is pneumonia in patients who have been on mechanical ventilation for > or =48 hours. VAP is most accurately diagnosed by quantitative culture and microscopy examination of lower respiratory tract secretions, which are best obtained by bronchoscopically directed techniques such as the protected specimen brush and bronchoalveolar lavage. These techniques have acceptable repeatability, and interpretation of results is unaffected by antibiotics administered concurrently for infection at extrapulmonary sites as long as antimicrobial therapy has not been changed for <72 hours before bronchoscopy. |
| Audience | Professional Academic |
| Author | Mayhall, C G |
| AuthorAffiliation | University of Texas Medical Branch, Galveston, Texas, USA. cmayhall@utmb.edu |
| AuthorAffiliation_xml | – name: University of Texas Medical Branch, Galveston, Texas, USA. cmayhall@utmb.edu |
| Author_xml | – sequence: 1 givenname: C G surname: Mayhall fullname: Mayhall, C G email: cmayhall@utmb.edu organization: University of Texas Medical Branch, Galveston, Texas, USA. cmayhall@utmb.edu |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/11294706$$D View this record in MEDLINE/PubMed |
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| Snippet | Ventilator-associated pneumonia (VAP) is pneumonia in patients who have been on mechanical ventilation for > or =48 hours. VAP is most accurately diagnosed by... Ventilator-associated pneumonia (VAP) is pneumonia in patients who have been on mechanical ventilation for > or =48 hours. VAP is most accurately diagnosed... |
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| SubjectTerms | Anti-Bacterial Agents - therapeutic use Artificial respiration Bacterial pneumonia Bronchoalveolar Lavage - methods Bronchoscopy - methods Diagnosis Humans Methods Physiological aspects Pneumonia Pneumonia - diagnosis Pneumonia - etiology Reproducibility of Results Respiratory Distress Syndrome, Adult - complications Respiratory System - metabolism Ventilators, Mechanical - adverse effects |
| Title | Ventilator-associated pneumonia or not? Contemporary diagnosis |
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