Mo7 Posted August 15, 2022 Share Posted August 15, 2022 Hi guys, what is your approach to Ventilation Associated Pneumonia VAP? What is your definition? Do you routinely send ETT aspirations for culture? And do you use blinded end catheter? Do you treat colonisation? I am asking because it is a source of continuous excuse to keep babies on antibiotic with no clear benefit very interested in hearing your thoughts Link to comment Share on other sites More sharing options...
hosiovich Posted August 17, 2022 Share Posted August 17, 2022 Very controversial topic. No definition in the neonatal period. We do not treat colonization. Link to comment Share on other sites More sharing options...
Mo7 Posted August 17, 2022 Author Share Posted August 17, 2022 We do have the CDC definition in infant less one year, however it can not be applied to the prem with evolving chronic lung disease. It includes clinical, radiological, and microbiological aspect for the diagnosis. Most of these can be applied early to the ventilated prem with BPD. in addition, it is recommended to use a Blind protected catheter for sample collection. Sadly, it is a common cause to start antibiotics when lung condition does not improve or get worst, we start looking for causes and ET aspirate is the easiest source to justify antibiotics. Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now