Ventilator-associated pneumonia
From IDWiki
Background
Definition
- Pneumonia that develops at least 48 hours after starting invasive ventilation
Microbiology
- Early (within 4 days)
- Late (after 4 days)
- Methicillin-resistant Staphylococcus aureus
- Acinetobacter
- Pseudomonas aeruginosa
- ESBL bacteria
Clinical Manifestations
- Intubation
- Fever, leukocytosis, purulent secretions
Investigations
- Chest x-ray
- Sputum culture