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Chinchankar, N.1; Milnes, R.2; Lo, T.Y.M.1

Pediatric Critical Care Medicine: May 2014 - Volume 15 - Issue 4_suppl - p 149
doi: 10.1097/01.pcc.0000449385.49074.b2
Abstracts of the 7th World Congress on Pediatric Critical Care

1Paediatric Intensive Care Medicine, Royal Hospital for Sick Children, Edinburgh, United Kingdom 2Child Life and Health, University of Edinburgh, Edinburgh, United Kingdom

Background and aims: Ventilator associated pneumonia (VAP) is a serious hospital acquired infection that prolongs intensive care unit (ICU) stay and increases mortality in adults. VAP is common affecting upto 50% of adult ventilated patients but the lack of unified paediatric definition of VAP, it is difficult to estimate its impact in paediatric practice.

Aims: Our study aims to define a clinically useful definition of VAP using information from the existing literature; then employ this definition to a cohort of paediatric intensive care patients to determine the incidence of paediatric VAP and its relationship to outcome.

Methods: A clinically useful definition of paediatric VAP was defined using a literature search of the existing definitions of VAP in both adults and children. Then through a retrospective case note review and applying this pre-defined definition, the incidence of paediatric VAP in a single PICU within Scotland was determined. IRB waived the need for informed consent.

Results: 51 of the 202 ventilated paediatric patients (April 2012 - March 2013) had VAP giving a rate of 25.2%. VAP was associated with a significantly longer duration of ventilation (p < 0.01), a delayed PICU discharge (p < 0.01), but no impact on mortality (p = NS). Our clinical definition had a sensitivity and specificity of 78.4% and 100% respectively for diagnosing VAP.

Conclusions: VAP affects 25.2% of ventilated paediatric patients and delays PICU discharge. Further investigations into the prevention of this common hospital acquired infection are warranted.

©2014The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies