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Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249

Abstract

ALVAREZ, Daniela; TELECHEA, Héctor  and  MENCHACA, Amanda. Incidence and difficulties in the diagnosis of ventilator associated pneumonia at a pediatric intensive care unit. Arch. Pediatr. Urug. [online]. 2019, vol.90, n.2, pp.63-68. ISSN 0004-0584.  http://dx.doi.org/10.31134/ap.90.2.3.

Introduction:

ventilator associated pneumonia (VAP) is a common hospital infection in ICUs and it can increase of morbidity, mortality, length of hospital stay and health care costs.

Objective:

determine the incidence of VAP in the Pediatric Intensive Care Unit of the Pereira Rossell Children Hospital (CHPR) in 2015.

Material and methods.

from January 1st to December 31st, 2015, we carried out a descriptive study that included children who required mechanical ventilation (MV) for 24 hours or longer. We recorded the number of days of MV, applied the Center for Diseases Control (CDC) diagnostic criteria and compared it against the Clinical Pulmonary Socore (CIPS). Clinical data were extracted from the patients’ medical records.

Results:

147 children met the inclusion criteria during 686 days of mechanical ventilation. We suspected VAP in 15 cases, and one of these 15 cases met the CDC criteria for VAP. The incidence of VAP was 1.45 cases/1000 days of MV. The isolated bacteria were Acinteobacter baumanii complex and Enterobacter cloacae.

Conclusion:

the incidence of VAP was high when compared to the 2013 NNIS Report, but low when compared to regional data. The data showed a low adherence to the CDC VAP diagnostic criteria. It is necessary to encourage compliance to CDC criteria in order to avoid VAP over diagnosis and to rationalize the use of antibiotics.

Keywords : Ventilator associated pneumonia; Incidence; Pediatric intensive care units.

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