Developing a New, National Approach to Surveillance for Ventilator-Associated Events

Shelley S Magill; Michael Klompas; Beth Hammer; David Henderson; Dean Hess; Nicholas S Hill; Teresa Horan; Marin Kollef; Mitchell Levy; Edward Septimus; Carole Vanantwerpen; Don Wright; Robert Balk; Pamela Lipsett; Suzanne M Burns; Clifford S Deutschman; Daniel Diekema; Scott Fridkin; Linda Greene; Alice Guh; David Gutterman

doi:10.1097/CCM.0b013e3182a262db

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Developing a New, National Approach to Surveillance for Ventilator-Associated Events

Journal article

Peer reviewed

Developing a New, National Approach to Surveillance for Ventilator-Associated Events

Shelley S Magill, Michael Klompas, Beth Hammer, David Henderson, Dean Hess, Nicholas S Hill, Teresa Horan, Marin Kollef, Mitchell Levy, Edward Septimus, …

Critical care medicine, Vol.41(11), pp.2467-2475

2013

DOI: 10.1097/CCM.0b013e3182a262db

PMID: 24162674

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https://pmc.ncbi.nlm.nih.gov/articles/PMC10847970/pdf/nihms-1963158.pdfView

Open Access

Abstract

Objective: To develop and implement an objective, reliable approach to surveillance for ventilator-associated events in adult patients. Design: The Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group in September 2011. Working Group members included representatives of stakeholder societies and organizations and federal partners. Main results: The Working Group finalized a three-tier, adult surveillance definition algorithm for ventilator-associated events. The algorithm uses objective, readily available data elements and can identify a broad range of conditions and complications occurring in mechanically ventilated adult patients, including but not limited to VAP. The first tier definition, ventilator-associated condition (VAC), identifies patients with a period of sustained respiratory deterioration following a sustained period of stability or improvement on the ventilator, defined by changes in the daily minimum fraction of inspired oxygen or positive end-expiratory pressure. The second tier definition, infection-related ventilator-associated complication (IVAC), requires that patients with VAC also have an abnormal temperature or white blood cell count, and be started on a new antimicrobial agent. The third tier definitions, possible and probable VAP, require that patients with IVAC also have laboratory and/or microbiological evidence of respiratory infection. Conclusions: Ventilator-associated events surveillance was implemented in January 2013 in the CDC’s National Healthcare Safety Network. Modifications to improve surveillance may be made as additional data become available and users gain experience with the new definitions.

Infectious Diseases

Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy

Biological and medical sciences

General aspects

Human infectious diseases. Experimental studies and models

Intensive care medicine

Medical sciences

Details

Title: Subtitle: Developing a New, National Approach to Surveillance for Ventilator-Associated Events
Creators: Shelley S Magill
Michael Klompas
Beth Hammer
David Henderson
Dean Hess
Nicholas S Hill
Teresa Horan
Marin Kollef
Mitchell Levy
Edward Septimus
Carole Vanantwerpen
Don Wright
Robert Balk
Pamela Lipsett
Suzanne M Burns
Clifford S Deutschman
Daniel Diekema - University of Iowa, Internal Medicine
Scott Fridkin
Linda Greene
Alice Guh
David Gutterman - Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, United States
Resource Type: Journal article
Publication Details: Critical care medicine, Vol.41(11), pp.2467-2475
DOI: 10.1097/CCM.0b013e3182a262db
PMID: 24162674
NLM abbreviation: Crit Care Med
ISSN: 0090-3493
eISSN: 1530-0293
Publisher: Lippincott Williams & Wilkins
Language: English
Date published: 2013
Academic Unit: Infectious Diseases; Pathology; Internal Medicine
Record Identifier: 9984003045402771

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