VAP rates unchanged

• Main Author: Robbins RA
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2016-12-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: CDC; MPSMS; VAP; definition; guidelines; pneumonia; prevention; rates; ventilator; ventilator associated
• Online Access: http://www.swjpcc.com/news/2016/12/3/vap-rates-unchanged.html

No abstract available. Article truncated at 150 words. In a research letter to JAMA Metersky and colleagues (1) report that ventilator-associated pneumonia (VAP) rates have remained near 10% since 2005. The authors reviewed Medicare Patient Safety Monitoring System (MPSMS) data on a representative sample of more than 86,000 critically ill patients treated at 1330 US hospitals between 2005 and 2013. To meet a diagnosis of VAP patients were required to have at least 2 days' ventilation in intensive care units; a chest radiograph with a new finding suggesting pneumonia; a physician diagnosis of pneumonia; and an order for antibiotics. VAP incidence was 10.8% (95% confidence interval, 7.4% - 14.4%) during 2005 to 2006 and 9.7% (95% confidence interval, 5.1% - 14.9%) during 2012 to 2013. In contrast, data from the CDC's National Healthcare Safety Network (NHSN) have shown declines in VAP rates of 71% and 62% in medical and surgical intensive care units, respectively, between 2006 and 2012 …