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How to Diagnose Ventilator Associated Pneumonia

  • Conference paper
Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.

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Abstract

Ventilator associated pneumonia (VAP) is a frequent infectious complication in ICU [1] and contributes to increase mortality in the ICU patients [2].

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References

  1. Vincent JL, Bihari DJ, Suter PM et al for the EPIC International Advisory Committee (1995) Prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. JAMA 274:639–644

    Article  PubMed  CAS  Google Scholar 

  2. Fagon JY (1997) Influence of pneumonia on the mortality of the critically ill. Curr Op Crit Care 3:56–64

    Article  Google Scholar 

  3. O’Grady NP, Barie PS, Bartlett J et al (1998) Practice parameters for evaluating new fever in critically ill adult patients. Crit Care Med 26:392–408

    Article  PubMed  Google Scholar 

  4. Winer Muram HT, Rubin SA, Ellis JV et al (1993) Pneumonia and ARDS in patients receiving mechanical ventilation: diagnostic accuracy of chest radiography. Radiology 188:479–485

    PubMed  CAS  Google Scholar 

  5. Baselski VS, Wunderink RG (1994) Bronchoscopic diagnosis of pneumonia. Clin Microbiol Rev 7:533–558

    PubMed  CAS  Google Scholar 

  6. Chevret S, Hemmer M, Carlet J et al and the European Cooperative Group on Nosocomial Pneumonia (1993) Incidence and risk factors of pneumonia acquired in intensive care units. Results from a multicenter prospective study on 996 patients. Intensive Care Med 19:256–264

    Article  PubMed  CAS  Google Scholar 

  7. Baselski VS, El-Torky M, Coalson JJ, Griffin JP (1992) The standardization of criteria for processing and interpreting laboratory specimens in patients with suspected ventilator-associated pneumonia. Chest 102:571S–579S

    Article  PubMed  CAS  Google Scholar 

  8. Marquette CH, Georges H, Wallet F et al (1993) Diagnostic efficiency of endotracheal aspirates with quantitative bacterial cultures in intubated patients with suspected pneumonia. Comparison with the protected specimen brush. Am Rev Respir Dis 148:138–144

    PubMed  CAS  Google Scholar 

  9. Jourdain B, Novara A, Joly-Guillou et al (1995) Role of quantitative cultures of endotracheal aspirates in the diagnosis of nosocomial pneumonia. Am J Respir Crit Care Med 152:241–246

    PubMed  CAS  Google Scholar 

  10. Meduri GU, Chastre J (1992) The standardization of bronchoscopic techniques for ventilator associated pneumonia. Chest 102:557S–564S

    Article  PubMed  CAS  Google Scholar 

  11. Pham LH, Brun Buisson C, Legrand P et al (1991) Diagnosis of nosocomial pneumonia in mechanically ventilated patients. Comparison of a plugged telescoping catheter with the protected specimen brush. Am Rev Respir Dis 143:1055–1061

    PubMed  CAS  Google Scholar 

  12. Kahn FW, Jones JM (1987) Diagnosing bacterial respiratory infection by bronchoalveolar lavage. J Infect Dis 155:862–869

    Article  PubMed  CAS  Google Scholar 

  13. Pugin J, Auckenthaler R, Mili N et al (1991) Diagnosis of ventilator associated pneumonia by bactériologie analysis of bronchoscopic and nonbronchoscopic “blind” bronchoalveolar lavage fluid. Am Rev Respir Dis 143:1121–1129

    PubMed  CAS  Google Scholar 

  14. Meduri GU, Beals DH, Maijub AG, Baselsky V (1991) Protected bronchoalveolar lavage. A new bronchoscopic technique to retrive uncontaminated distal airway secretions. Am Rev Respir Dis 143:855–864

    PubMed  CAS  Google Scholar 

  15. Souweine B, Veber B, Bedos JP et al (1998) Diagnostic accuracy of protected specimen brush and bronchoalveolar lavage in nosocomial pneumonia: impact of previous antimicrobial treatments. Crit Care Med 26:236–243

    Article  PubMed  CAS  Google Scholar 

  16. Chastre J, Fagon JY, Soler P et al (1989) Quantification of BAL cells containing intracellular bacteria rapidly identifies ventilated patients with nosocomial pneumonia. Chest 95: S190–S192

    Article  Google Scholar 

  17. Pugin J, Suter PM (1992) Diagnostic bronchoalveolar lavage in patients with pneumonia produces sepsis like effect. Intensive Care Med 18:6–10

    Article  PubMed  CAS  Google Scholar 

  18. Kollef MH, Bock KR, Richards RD et al (1995) The safety and diagnostic accuracy of minibronchoalveolar lavage in patients with suspected ventilator-associated pneumonia. Ann Intern Med 122:743–748

    PubMed  CAS  Google Scholar 

  19. Shelhamer JH, Gill VJ, Quinn TC et al (1996) The laboratory evaluation of opportunistic pulmonary infections. Ann Intern Med 124:585–599

    PubMed  CAS  Google Scholar 

  20. Rouby JJ, Martin De Lassale E, Poete E et al (1992) Nosocomial bronchopneumonia in the critically ill. Histologic and bactériologie aspects. Am Rev Respir Dis 146:1059–1066

    PubMed  CAS  Google Scholar 

  21. Torres A, El-Ebiary M, Padr L et al (1994) Validation of different techniques for the diagnosis of ventilator-associated pneumonia. Comparison with immediate postmortem pulmonary biopsy. Am Rev Respir Crit Care Med 149:324–331

    CAS  Google Scholar 

  22. Chastre J, Fagon JY, Bornet-Lecso M et al (1995) Evaluation of bronchoscopic technique for the diagnosis of nosocomial pneumonia. Am J Respir Crit Care Med 152:231–240

    PubMed  CAS  Google Scholar 

  23. Fabregas N, Torres A, El-Ebiary M et al (1996) Histopathologic and microbiologic aspects of ventilator-associated pneumonia. Anesthesiology 84:760–771

    Article  PubMed  CAS  Google Scholar 

  24. Niederman MS (1998) Bronchoscopy for ventilator associated pneumonia: show me the money (outcome benefit)! Crit Care Med 26:198–199

    Article  PubMed  CAS  Google Scholar 

  25. Kollef MH, Ward S (1998) The influence of mini-Bal cultures on patient outcomes. Chest 113:412–420

    Article  PubMed  CAS  Google Scholar 

  26. American Thoracic Society (1994) Hospital acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy, and preventive strategy: a consensus statement. Am J Respir Crit Care Med 153:1711–1725

    Google Scholar 

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Author information

Authors and Affiliations

  1. Dept. of Anaesthesia and Intensive Care, Maggiore Hospital — IRCCS, Milan, Italy

    M. Langer

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  1. M. Langer
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Editor information

Editors and Affiliations

  1. Department of Anaesthesiology and Intensive Care, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 1999 Springer-Verlag Italia

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Langer, M. (1999). How to Diagnose Ventilator Associated Pneumonia. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2145-7_71

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  • DOI: https://doi.org/10.1007/978-88-470-2145-7_71

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0051-3

  • Online ISBN: 978-88-470-2145-7

  • eBook Packages: Springer Book Archive

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