Profile of adult intensive care units in Brazil: systematic review of observational studies

Aguiar, Luciana Mara Meireles; Martins, Gabriela de Sousa; Valduga, Renato; Gerez, André Paz; Carmo, Eduardo Cunha do; Cunha, Katiane da Costa; Cipriano, Graziella França Bernardelli; Silva, Marianne Lucena da

doi:10.5935/0103-507x.20210088

Cited by 1 publication

(1 citation statement)

References 29 publications

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“…The sensitivity and specificity variables of available clinical criteria make diagnostic evaluation complex. 18 19 …”

Section: Introductionmentioning

confidence: 99%

Application of ventilator-associated events (VAE) in ventilator-associated pneumonia (VAP) notified in Brazil (IMPACTO MR-PAV): a protocol for a cohort study

Nascimento,

Gomes Rodrigues,

Mangas Catarino

et al. 2023

BMJ Open

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IntroductionCertain criteria for ventilator-associated events (VAE) definition might influence the type of an event, its detection rate and consequently the resource expenditure in intensive care unit. TheImpact of Infections by Antimicrobial-Resistant Microorganisms - Ventilator-Associated Pneumonia(IMPACTO MR-PAV) aims to evaluate the incidence and diagnostic accuracy of ventilator-associated pneumonia (VAP) using the current criteria for VAP surveillance in Brazil versus the VAE criteria defined by the US National Healthcare Safety Network-Center for Diseases Control and Prevention (CDC) criteria.Methods and analysisThe study will be conducted in around 15 centres across Brazil from October 2022 to December 2023. Trained healthcare professionals will collect data and compare the incidence of VAP using both the current criteria for VAP surveillance in Brazil and the VAE criteria defined by the CDC. The accuracy of the two criteria for identifying VAP will also be analysed. It will also characterise other events associated with mechanical ventilation (ventilator-associated condition, infection-related ventilator-associated complication) and adjudicate VAP reported to the Brazilian Health Regulatory Agency (ANVISA) using current epidemiological diagnostic criteria.Ethics and disseminationThis study was approved by the Institutional Review Board under the number 52354721.0.1001.0070. The study’s primary outcome measure will be the incidence of VAP using the two different surveillance criteria, and the secondary outcome measures will be the accuracy of the two criteria for identifying VAP and the adjudication of VAP reported to ANVISA. The results will contribute to the improvement of VAP surveillance in Brazil and may have implications for other countries that use similar criteria.Trial registration numberNCT05589727; Clinicaltrials.gov.

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“…The sensitivity and specificity variables of available clinical criteria make diagnostic evaluation complex. 18 19 …”

Section: Introductionmentioning

confidence: 99%

Application of ventilator-associated events (VAE) in ventilator-associated pneumonia (VAP) notified in Brazil (IMPACTO MR-PAV): a protocol for a cohort study

Nascimento,

Gomes Rodrigues,

Mangas Catarino

et al. 2023

BMJ Open

View full text Add to dashboard Cite

show abstract

Profile of adult intensive care units in Brazil: systematic review of observational studies

Cited by 1 publication

References 29 publications

Application of ventilator-associated events (VAE) in ventilator-associated pneumonia (VAP) notified in Brazil (IMPACTO MR-PAV): a protocol for a cohort study

Application of ventilator-associated events (VAE) in ventilator-associated pneumonia (VAP) notified in Brazil (IMPACTO MR-PAV): a protocol for a cohort study

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