Adherence to an established diagnostic threshold for ventilator-associated pneumonia contributes to low false-negative rates in trauma patients

The diagnosis of ventilator-associated pneumonia (VAP) in our institution has followed an established diagnostic threshold (DT) of equal to or greater than 10 colony-forming units (CFU) per milliliter on bronchoalveolar lavage (BAL) based on our previous study (PS). Because mortality from VAP is rel...

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Veröffentlicht in:	The journal of trauma and acute care surgery 2015-03, Vol.78 (3), p.468-474
Hauptverfasser:	Sharpe, John P, Magnotti, Louis J, Weinberg, Jordan A, Swanson, Joseph M, Schroeppel, Thomas J, Clement, L Paige, Wood, G Christopher, Fabian, Timothy C, Croce, Martin A
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Algorithms Anti-Bacterial Agents - therapeutic use Bronchoalveolar Lavage Bronchoscopy Colony Count, Microbial Cross Infection - diagnosis Cross Infection - drug therapy Cross Infection - microbiology Diagnosis, Differential False Negative Reactions Female Humans Injury Severity Score Intensive Care Units Leukocytosis - microbiology Leukopenia - microbiology Male Pneumonia, Bacterial - diagnosis Pneumonia, Bacterial - drug therapy Pneumonia, Bacterial - microbiology Pneumonia, Ventilator-Associated - diagnosis Pneumonia, Ventilator-Associated - drug therapy Pneumonia, Ventilator-Associated - microbiology Prospective Studies Radiography, Thoracic Trauma Centers
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