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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*
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 (anne_lachiewicz@med.unc.edu).

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
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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