Ventilator-associated pneumonia: Difference between revisions

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== Definition ==
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== 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 Presentation ==
 
 
**[[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
 
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* Sputum culture
 
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*Chest x-ray
 
*Sputum culture
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== Diagnosis ==
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* [[Clinical Pulmonary Infection Score]]
   
 
[[Category:Infectious diseases]]
 
[[Category:Infectious diseases]]

Latest revision as of 19:16, 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