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Başlık: Evaluation of a clinical pulmonary infection score in the diagnosis of ventilator-associated pneumonia
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Mikrobiyoloji ve Enfeksiyon Hastalıkları Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.
0000-0003-4820-2288
Güler, Emre
Kahveci, Ferda
Akalın, Halis
Sınırtaş, Melda
Bayram, Sami
Özcan, Berin
AAG-9356-2021
AAU-8952-2020
57198133515
6602405968
57207553671
6505818048
8705640100
6603825848
Anahtar kelimeler: Emergency medicine
Ventilator associated pneumonia
Cpis
Vap diagnosis
Management
Epidemiology
Criteria
Cultures
Outcomes
Yayın Tarihi: Nis-2012
Yayıncı: Mre Press
Atıf: Güler, E. vd. (2012). "Evaluation of a clinical pulmonary infection score in the diagnosis of ventilator-associated pneumonia". Signa Vitae, 7(1), 32-37.
Özet: The most important dilemma in the diagnosis of ventilator-associated pneumonia (VAP) based on only clinical findings is overdiagnosis. The aim of the study is to prospectively evaluate the Clinical Pulmonary Infection Score (CPIS) in relation to VAP diagnosis. Design. Prospective, in a cohort of mechanically ventilated patients. Setting. The intensive care unit of a university hospital. Patients. Fifty patients, on mechanical ventilation therapy for more than 48 hours, suspected of having VAP were enrolled in the study and bacteriologic confirmation was done by bronchoalveolar lavage (BAL) culture. Interventions. Bronchoscopy with BAL fluid culture after establishing a clinical suspicion of VAP in patients having no prior antibiotic therapy or no change in current antibiotic therapy within last three days before BAL. CPIS scores during diagnosis were 6+/-2 (3-9) (median+/-QR, maximum-minimum) and it was 7+/-2 (2-9) at the 72nd hour, in 41 cases with a diagnosis of VAP. In cases with no diagnosis of VAP, the CPIS scores were found to be 6+/-2 (4-8) and 5+/-3 (2-7), respectively. There was no significant difference between the VAP group and the non-VAP group at diagnosis, but was significant at 72nd hour (respectively, p=0.551 and p=0.025). CPIS scores during diagnosis were 6+/-3 (4-8) (median+/-QR, maximum-minimum) and 7+/-4 (2-8) at the 72nd hour, in 14 cases with a diagnosis of early-onset VAP. In cases with a diagnosis of late-onset VAP, the CPIS scores were found to be 6+/-2 (3-9) and 7+/-2 (3-9), respectively. There was no significant difference between the early-onset VAP group and the late-onset VAP group. In conclusion, the CPIS results should be evaluated carefully in the clinical setting during the diagnosis.
URI: https://doi.org/10.22514/SV71.042012.6
https://www.signavitae.com/articles/10.22514/SV71.042012.6
https://www.mendeley.com/catalogue/d7f11c9b-cb2d-3455-bbb6-81c2a088b306/
http://hdl.handle.net/11452/25589
ISSN: 1334-5605
Koleksiyonlarda Görünür:Scopus
Web of Science

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