Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-04T21:26:41.249Z Has data issue: false hasContentIssue false
  • English
  • Français

From VAP to VAE: Implications of the New CDC Definitions on a Burn Intensive Care Unit Population

Published online by Cambridge University Press:  17 April 2017

Anne M. Lachiewicz ,
David J. Weber ,
David van Duin ,
Shannon S. Carson ,
Lauren M. DiBiase ,
Samuel W. Jones ,
William A. Rutala ,
Bruce A. Cairns  and
Emily E. Sickbert-Bennett
Anne M. Lachiewicz*
Affiliation:
Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
David J. Weber
Affiliation:
Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
David van Duin
Affiliation:
Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Shannon S. Carson
Affiliation:
Division of Pulmonary Diseases and Critical Care Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Lauren M. DiBiase
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
Samuel W. Jones
Affiliation:
Department of Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina North Carolina Jaycee Burn Center, Chapel Hill, North Carolina.
William A. Rutala
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
Bruce A. Cairns
Affiliation:
Department of Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina North Carolina Jaycee Burn Center, Chapel Hill, North Carolina.
Emily E. Sickbert-Bennett
Affiliation:
Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
*
Address correspondence to Anne M. Lachiewicz, MD, MPH, Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, 130 Mason Farm Road, Mail code CB# 7030, Chapel Hill, NC 27599-7030 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Ventilator-associated pneumonia (VAP) is a frequent complication of severe burn injury. Comparing the current ventilator-associated event-possible VAP definition to the pre-2013 VAP definition, we identified considerably fewer VAP cases in our burn ICU. The new definition does not capture many VAP cases that would have been reported using the pre-2013 definition.

Infect Control Hosp Epidemiol 2017;38:867–869

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 7 , July 2017 , pp. 867 - 869
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. National Healthcare Safety Network. Device-associated module ventilator-associated event (VAE). Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/PDFs/pscManual/10-VAE_FINAL.pdf. January 2017. Accessed February 2, 2017.Google Scholar
2. Magill, SS, Klompas, M, Balk, R, et al. Developing a new, national approach to surveillance for ventilator-associated events: executive summary. Chest 2013;144:1448–1452.Google Scholar
3. National Healthcare Safety Network. Device-associated module PNEU: pneumonia (ventilator-associated [VAP] and non-ventilator-associated pneumonia [PNEU]) event. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/6pscvapcurrent.pdf. January 2017. Accessed February 2, 2017.Google Scholar
4. National Healthcare Safety Network. Key terms. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/PDFs/pscManual/16pscKeyTerms_current.pdf. January 2017. Accessed February 2, 2017.Google Scholar
5. Dudeck, MA, Weiner, LM, Allen-Bridson, K, et al. National Healthcare Safety Network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control 2013;41:1148–1166.Google Scholar
6. Magill, SS, Li, Q, Gross, C, Dudeck, M, Allen-Bridson, K, Edwards, JR. Incidence and characteristics of ventilator-associated events reported to the National Healthcare Safety Network in 2014. Crit Care Med 2016;4:2154–2162.Google Scholar
7. Lilly, CM, Landry, KE, Sood, RN, et al. Prevalence and test characteristics of National Health Safety Network ventilator-associated events. Crit Care Med 2014;42:2019–2028.Google Scholar
8. Chang, HC, Chen, CM, Kung, SC, Wang, CM, Liu, WL, Lai, CC. Differences between novel and conventional surveillance paradigms of ventilator-associated pneumonia. Am J Infect Control 2015;43:113–136.Google Scholar
9. Klompas, M. Potential strategies to prevent ventilator-associated events. Am J Respir Crit Care Med 2015;192:1420–1430.Google Scholar
10. Mann, T, Ellworth, J, Huda, N, et al. Building and validating a computerized algorithm for surveillance of ventilator-associated events. Infect Control Hosp Epidemiol 2015;36:999–1003.Google Scholar