Ventilator-Associated Pneumonia in Children

Wright, Melvin; Romano, Michael J.

doi:10.1053/j.spid.2006.04.003

Cited by 35 publications

(18 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Radiographic evidence is only 50-75% sensitive for paediatric pneumonia [39] as differentiating atelectasis and consolidation is difficult, so pulmonary contusions, interstitial lung disease or community-acquired pneumonia can be mistaken for VAP without peri-admission CXR [32].…”

Section: Discussionmentioning

confidence: 99%

Reducing VAP by instituting a care bundle using improvement methodology in a UK Paediatric Intensive Care Unit

et al. 2011

View full text Add to dashboard Cite

Preventing ventilator-associated pneumonia (VAP) is one of the Department of Health Saving Lives initiatives. We describe the institution of a purpose-designed bundle of care in a tertiary paediatric ICU based on the available literature as part of our hospital's transformation project into reducing health-care-associated infection. A nurse-led VAP surveillance programme is in place, and we used this to compare VAP incidence before and after commencing a series of care measures aimed at reducing VAP as part of an overall drive for patient safety. The diagnostic criteria, surveillance methods and rates of VAP (5.6 per 1,000 ventilator days) have been previously reported. Nurse educators were added to the original core group, as a key feature is buy in from nursing staff. All nursing staff had multiple training opportunities, and VAP project education became a routine part of staff induction. The major features of the bundle of care were (1) elevation of bed to maximum (target, 45°; however, no beds currently permit this so achieved 20-30°), (2) mouth care using chlorhexidine or tooth brushing, (3) clean suctioning practice, (4) all patients not on full feeds commenced on ranitidine and (5) 4-hourly documentation. Compliance with these aspects was monitored. After the institution of the bundle, no paediatric case of VAP was recorded over a 12-month period, according to a priori definitions. One adult patient had a confirmed VAP over the same time interval. A paediatric VAP bundle was associated with reduced VAP on a UK PICU.

show abstract

Section: Discussionmentioning

confidence: 99%

Reducing VAP by instituting a care bundle using improvement methodology in a UK Paediatric Intensive Care Unit

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Pneumonia increases the ICU length of stay and overall care cost, but the influence on mortality is not demonstrated, unlike in adult patients [24,27]. There are few publications in pediatric populations and, as described in two recent reviews, most guidelines are largely supported by data from adult populations [28,29]. As in adults, several factors have been implicated in the physiopathology of VAP: aspiration of oropharyngeal secretions, aspiration of gastric fluid, and inhalation of bacteria.…”

Section: Prevention Of Vapmentioning

confidence: 93%

Healthcare-associated infection prevention in pediatric intensive care units: a review

Joram

Blanquat

Stamm

et al. 2012

Eur J Clin Microbiol Infect Dis

View full text Add to dashboard Cite

The objective of this review was to summarize the current knowledge base on the prevention of nosocomial infections in pediatric intensive care units (PICUs). Healthcare-associated infections (HAIs) are a crucial problem in PICUs because of their impact on patient outcome, length of hospital stay, and costs. Studies published between 1998 and 2011 were identified using the MEDLINE and Cochrane databases. Randomized, cohort, case-control studies, and meta-analyses concerning global strategies of prevention, general organization of the wards, general recommendations on antibiotic management, and measures for the prevention of ventilator-associated pneumonia (VAP), bloodstream infections (BSIs), urinary tract infections (UTIs), and surgical site infections (SSIs) were incorporated. Limits of age from 1 month to 18 years were used. When recommendations could not be supported by the pediatric literature, adult studies were also reviewed. This review excludes the neonate population. Specific pediatric data are often lacking so as to establish specific evidence-based pediatric recommendations. This review underlines the absolute necessity of pediatric studies and to harmonize the definitions of HAIs.

show abstract

“…Ainsi, en réa-nimation pédiatrique, les bactériémies restent prédominantes, excepté dans la tranche d'âge 5-12 ans, où ce sont les pneumonies qui fi gurent au premier plan (fi g. 1) [8]. D'une façon générale, les pneumopathies acquises sous ventilation mécanique restent la deuxième cause d'infections nosocomiales en réanimation pédiatrique [9,10]. …”

Section: Des Pathogènes Différents Des Infections Différentesunclassified

“…L'intubation trachéale, principal facteur de risque, est retrouvée dans 70 à 95 % des cas (pneumopathies acquises sous ventilation mécanique, PAVM). Il en résulte une majoration de la durée et du coût de l'hospitalisation en réanimation mais, à la diff érence de l'adulte, ne semble pas avoir d'incidence sur la mortalité [7,10,11]. La physiopathologie et les moyens de prévention ne diff èrent pas fondamentalement de ceux de l'adulte.…”

Section: Pneumonies Acquises Sous Ventilation Mécaniqueunclassified

Infections nosocomiales en réanimation pédiatrique

Boyer¹,

Guyard²,

Caseris³

et al. 2013

Réanimation Pédiatrique

View full text Add to dashboard Cite

PréambuleNous ne traiterons dans ce chapitre que le cas des nourrissons et enfants admis en réanimation médico-chirurgicale, en excluant notamment les nouveau-nés prématurés. Les mesures applicables à tout malade hospitalisé indé-pendamment de son âge (par exemple, usage des solutions hydro-alcooliques, isolement par confi nement des germes à potentiel épidémique) ne seront pas abordées dans leurs aspects, hors spécifi cités pédiatriques.V. Laudenbach ( ), Unité fonctionnelle de réanimation pédiatrique, service de pédiatrie néonatale et réanimation,

show abstract

Ventilator-Associated Pneumonia in Children

Cited by 35 publications

References 40 publications

Reducing VAP by instituting a care bundle using improvement methodology in a UK Paediatric Intensive Care Unit

Reducing VAP by instituting a care bundle using improvement methodology in a UK Paediatric Intensive Care Unit

Healthcare-associated infection prevention in pediatric intensive care units: a review

Infections nosocomiales en réanimation pédiatrique

Contact Info

Product

Resources

About