Diagnosis of ventilator-associated pneumonia

摘要: The diagnosis of ventilator pneumonia remains a controversial area. Use standard clinical criteria has been found to be inadequate. pulmonary infection score (CPIS) improved the diagnostic utility criteria. For intubated patient, there is ready access lower respiratory tract. Samples include endotracheal aspirates, bronchoalveolar lavage and protected brush specimen. latter two can obtained blindly or via bronchoscope. culture results are more meaningful if reported in semi-quantitative model. There increasing evidence that predict mortality used direct duration type therapy.