Ventilator-associated pneumonia: Difference between revisions

Revision as of 11:02, 3 August 2020

Background

Definition

Pneumonia that develops at least 48 hours after starting invasive ventilation

Microbiology

Early (within 4 days)
- Streptococcus pneumoniae
- Haemophilus influenzae
- Methicillin-susceptible Staphylococcus aureus
- Enteric Gram-negative bacilli
- Escherichia coli
- Klebsiella pneumoniae
- Enterobacter species
- Proteus species
- Serratia marcescens
Late (after 4 days)
- Methicillin-resistant Staphylococcus aureus
- Acinetobacter species
- Pseudomonas aeruginosa
- ESBL bacteria

Clinical Manifestations

Intubation
Fever, leukocytosis, purulent secretions

Investigations

Chest x-ray
Sputum culture

Diagnosis

Clinical Pulmonary Infection Score

@@ Line 1: / Line 1: @@
-== Definition ==
+== Background ==
+===Definition===
-* Pneumonia that develops at least 48 hours after starting invasive ventilation
+*Pneumonia that develops at least 48 hours after starting invasive ventilation
-== Etiology ==
+===Microbiology===
-* Early (within 4 days)
-** Streptococcus pneumoniae
-** Haemophilus influenzae
-** Methicillin-sensitive Staphylococcus aureus
-** Enteric Gram-negative bacilli
-** Escherichia coli
-** Klebsiella pneumiae
-** Enterobacter spp.
-** Proteus spp.
-** Serratia marcescens
-* Late (after 4 days)
-** Methicillin-resistant Staphylococcus aureus
-** Acinetobacter
-** Pseudomonas aeruginosa
-** ESBL bacteria
+*Early (within 4 days)
-== Clinical Manifestations ==
+**[[Streptococcus pneumoniae]]
+**[[Haemophilus influenzae]]
+**Methicillin-susceptible [[Staphylococcus aureus]]
+**Enteric [[Gram-negative bacilli]]
+**[[Escherichia coli]]
+**[[Klebsiella pneumoniae]]
+**[[Enterobacter species]]
+**[[Proteus species]]
+**[[Serratia marcescens]]
+*Late (after 4 days)
+**Methicillin-resistant [[Staphylococcus aureus]]
+**[[Acinetobacter species]]
+**[[Pseudomonas aeruginosa]]
+**ESBL bacteria
+==Clinical Manifestations==
-* Intubation
-* Fever, leukocytosis, purulent secretions
+*Intubation
-== Investigations ==
+*Fever, leukocytosis, purulent secretions
+==Investigations==
-* CXR
-* Sputum culture
+*Chest x-ray
+*Sputum culture
+== Diagnosis ==
+* [[Clinical Pulmonary Infection Score]]
 [[Category:Infectious diseases]]