Accuracy of ventilator-associated events for the diagnosis of ventilator-associated lower respiratory tract infections

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Diagnosis of Ventilator-associated Pneumonia

EVIDENCE DEFINITIONS • Class I: Prospective randomized controlled trial. • Class II: Prospective clinical study or retrospective analysis of reliable data. Includes observational, cohort, prevalence, or case control studies. • Class III: Retrospective study. Includes database or registry reviews, large series of case reports, expert opinion. • Technology assessment: A technology study which doe...

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Diagnosis of ventilator-associated pneumonia.

In this issue of the Journal, Heyland et al., writing for the Canadian Critical Care Trials Group, report the results of a multicenter, randomized trial comparing the use of bronchoalveolar lavage and endotracheal aspiration for the diagnosis of ventilator-associated pneumonia.1 This study was part of a larger 2-by-2 factorial design also comparing empirical antimicrobial monotherapy (a carbape...

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Ventilator associated- respiratory infections (VARI), are all the same?

Results Among 115 966 patients hospitalized > 24 h, 91,122 (78.6%) with full information were analyzed. The 55% of them (50,212) were ventilated for 498,316 days. In 6699 (7.4% of total and 13.3% of ventilated) 8,131 VARI were diagnosed of which 4,435 (54.5%) were classified as VAP and 3,696 as VAT. In 3,433 pts 1 or more episodes of VAP were identified and TAV in 2,905 pts. Only 361 pts were r...

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882Risk Factors for Ventilator Associated Events

Dooshanveer Nuckchady, MD; Michael G. Heckman, MS; Nancy N. Diehl, BS; Darlene Carey, RN; John Moss, MD; Tara Creech, RN; Robert Domnick; Walter C. Hellinger MD; Infectious Disease, Mayo Clinic Jacksonville, Jacksonville, FL; Biostatistics, Mayo Clinic Florida, Jacksonville, FL; Infection Prevention and Control, Mayo Clinic Florida, Jacksonville, FL; Mayo Clinic Florida, Jacksonville, FL; Infor...

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The gastrointestinal tract and ventilator-associated pneumonia.

The gastrointestinal tract is believed to play an important role in ventilator-associated pneumonia (VAP), because during critical illness the stomach often is colonized with enteric Gram-negative bacteria. These are the same bacteria that frequently are isolated from the sputum of patients with VAP. Interventions such as selective decontamination of the digestive tract (SDD), use of sucralfate...

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ژورنال

عنوان ژورنال: Annals of Intensive Care

سال: 2020

ISSN: 2110-5820

DOI: 10.1186/s13613-020-0624-6