Analysis of diagnostic criteria for ventilator-associated pneumonia: a cohort study

• Main Author: Campos,Caroline Gonçalves Pustiglione
• Publication Date: 2021
• Other Authors: Pacheco,Aline, Gaspar,Maria Dagmar da Rocha, Arcaro,Guilherme, Reche,Péricles Martim, Nadal,Jessica Mendes, Farago,Paulo Vitor
• Format: Article
• Language: eng
• Source: Revista Brasileira de Enfermagem (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000600161
• topic: Pneumonia; Ventilator-Associated; Risk Factors; Intensive Care Units; Delivery of Health Care; Cross Infection

ABSTRACT Objectives: to analyze the diagnostic criteria for ventilator-associated pneumonia recommended by the Brazilian Health Regulatory Agency and the National Healthcare Safety Network/Centers for Disease Control and Prevention, as well as its risk factors. Methods: retrospective cohort study carried out in an intensive care unit throughout 12 months, in 2017. Analyses included chi-square, simple linear regression, and Kappa statistical tests and were conducted using Stata 12 software. Results: the sample was 543 patients who were in the intensive care unit and under mechanical ventilation, of whom 330 (60.9%) were men and 213 (39.1%) were women. Variables such as gender, age, time under mechanical ventilation, and oral hygiene proved to be significant risk factors for the development of ventilator-associated pneumonia. Conclusions: patients submitted to mechanical ventilation need to be constantly evaluated so the used diagnostic methods can be accurate and applied in an objective and standardized way in Brazilian hospitals.