Ventilator-associated pneumonia: Difference between revisions

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== 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]]
**[[Proteus]]
**[[Serratia marcescens]]
*Late (after 4 days)
**Methicillin-resistant [[Staphylococcus aureus]]
**[[Acinetobacter]]
**[[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]]
[[Category:Infectious diseases]]

Latest revision as of 23:16, 12 March 2022

Background

Definition

  • Pneumonia that develops at least 48 hours after starting invasive ventilation

Microbiology

Clinical Manifestations

  • Intubation
  • Fever, leukocytosis, purulent secretions

Investigations

  • Chest x-ray
  • Sputum culture

Diagnosis