Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) on Length of Stay (LOS) among Mechanically Ventilated Cases | ||||
| The Medical Journal of Cairo University | ||||
| Article 73, Volume 87, June, June 2019, Page 1981-1985 PDF (411.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2019.54055 | ||||
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| Authors | ||||
| SARA A.A.M. HEIKAL, M.Sc.; SALWA ABD ELAZEEM, M.D.; SAHAR YASSIN, M.D.*; DOA'A A.E. SALEH, M.D.; LAMIA'A H. MOHAMMED, M.D. | ||||
| The Departments of Public Health & Community Medicine* and Critical Care, Kasr El-Aini Hospital**, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Abstract Background: VAP is pneumonia that develops in a me-chanically ventilated patient with a first positive bacterial culture beyond 48 hours after hospital admission or tracheal intubation, whichever occurred first. VAP burden relies on the increase of morbidity, cost, prolonged MV, ICU-Length of Stay (LOS) and hospital-length of stay. Aim of Study: Improve health outcome of patients on Mechanical Ventilation (MV) through early diagnosis of (VAP), early management with appropriate antibiotics pre-scription using Clinical Pulmonary Infection Score (CPIS) and to decrease MV days, ICU-Length of Stay (LOS) and hospital-length of stay. Methods: Operational research, quasi-experimental inter-ventional study design. The study was conducted in the in Critical Care Department in the Faculty of Medicine Cairo-University. The study has 2 phases Phase 1: Recruiting the Control group (40 cases) on MV not using CPIS. Phase 2: Recruiting the Interventional group (40 cases) on MV using CPIS. Results: The most common organism in control group was Klebsiella 25% and in intervention group was MRSA 17.5%. The ICU LOS was significantly lower in patients who were followed by CPIS in intervention group. Conclusion: CPIS considered tool to monitor patient's condition on MV for early modification which in turn reflected on ventilator days and ICU length of stay. | ||||
| Keywords | ||||
| Mechanical ventilation MV; Ventilator associated pneumonia VAP; Intensive Care Unit ICU; Clinical pulmonary infection score CPIS; Acute physiology and chronic health evaluation APACHE; Length of stay LOS | ||||
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