Clinical Pulmonary Infection Score to Diagnose Ventilator-associated Pneumonia in Children.
Indian Pediatr
;
2011 December; 48(12): 949-954
Article
in English
| IMSEAR
| ID: sea-169037
ABSTRACT
Background:
There is a need to validate and suggest easy clinical method for diagnosis of ventilator-associated pneumonia (VAP) in developing countries.Objectives:
To validate the use of simplified Clinical Pulmonary Infection Score (CPIS) for the diagnosis of VAP.Design:
Prospective study.Setting:
Pediatric intensive care unit of a tertiary care teaching hospital.Subjects:
30 children receiving mechanical ventilation for more than 48 hours and with simplified CPIS6.Methods:
All patients underwent flexible bronchoscopy to obtain bronchoalveolar lavage which was analyzed quantitatively. Colony count 104cfu/mL was considered reference standard for definite VAP.Results:
Of the five variables used for simplified CPIS, only patient’s temperature (P=0.013) and PaO2/ FiO2 ratio were significant (P<0.001) to differentiate the presence of definite VAP. Patients with definite VAP (BAL colony count 104cfu/mL) had CPIS of 8.4 while in no definite VAP group it was 6.4 (P= 0.007). CPIS of 8 was found to have sensitivity of 80%, specificity 80%, PPV 86.9%, NPV 70.5% and accuracy 80%. The area under Receiver operating characteristic curve of CPIS against reference standard was 0.81± 0.069 (P=0.001).Conclusion:
Simplified CPIS is useful in patients on mechanical ventilation to diagnose ventilator- associated pneumonia.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Diagnostic study
/
Observational study
Language:
English
Journal:
Indian Pediatr
Year:
2011
Type:
Article
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