Clinical pulmonary infection score for ventilator-associated pneumonia: Accuracy and inter-observer variability

Intensive Care Medicine

Volumn 30, Issue 2, 2004, Pages 217-224

  Schurink, Carolina A M ^a   Van Nieuwenhoven, Christianne A ^a   Jacobs, Jan A ^a   Rozenberg Arska, Maja ^a   Joore, Hans C A ^a   Buskens, Erik ^a   Hoepelman, Andy I M ^a   Bonten, Marc J M ^a  

^a MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Clinical pulmonary infection score; Diagnosis; Intensive care unit; Inter observer variability; Ventilator associated pneumonia

Indexed keywords

ACCURACY; ADULT; AGED; AREA UNDER THE CURVE; ARTICLE; CALCULATION; CONTROLLED STUDY; DISEASE ASSOCIATION; FEMALE; HUMAN; INTERMETHOD COMPARISON; LUNG INFECTION; LUNG LAVAGE; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; PATIENT; PNEUMONIA; PROSPECTIVE STUDY; QUANTITATIVE ANALYSIS; RECEIVER OPERATING CHARACTERISTIC; SCORING SYSTEM; SENSITIVITY ANALYSIS; SENSITIVITY AND SPECIFICITY; VENTILATOR;

ADULT; AGED; AGED, 80 AND OVER; BRONCHOALVEOLAR LAVAGE FLUID; BRONCHOSCOPES; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; NETHERLANDS; PNEUMONIA; PROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; VENTILATORS, MECHANICAL;

EID: 1342268349     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-003-2018-2     Document Type: Article

References (21)

1. Kollef MH (1999) The prevention of ventilator-associated pneumonia. N Engl J Med 340:627-634
2. Papazian L, Thomas P, Garbe L, Guignon I, Thirion X, Charrel J, Bollet C, Fuentes P, Gouin F (1995) Bronchoscopic or blind sampling techniques for the diagnosis of ventilator-associated pneumonia. Am J Respir Crit Care Med 152:1982-1991
3. Niederman MS, Torres A, Summer W (1994) Invasive diagnostic testing is not needed routinely to manage suspected ventilator-associated pneumonia. Am J Respir Crit Care Med 150:565-569
4. Chastre J, Fagon JY (1994) Invasive diagnostic testing should be routinely used to manage ventilated patients with suspected pneumonia. Am J Respir Crit Care Med 150:570-574
5. Fagon JY, Chastre J, Wolff M, Gervais C, Parer-Aubas S, Stephan F, Similowski T, Mercat A, Diehl JL, Sollet JP, Tenaillon A (2000) Invasive and noninvasive strategies for management of suspected ventilator-associated pneumonia. A randomized trial. Ann Intern Med 132:621-630
6. Pugin J, Auckenthaler R, Mili N, Janssens JP, Lew PD, Suter PM (1991) Diagnosis of ventilator-associated pneumonia by bacteriologic analysis of bronchoscopic and nonbronchoscopic "blind" bronchoalveolar lavage fluid. Am Rev Respir Dis 143:1121-1129
7. A'Court CH, Garrard CS, Crook D, Bowler I, Conlon C, Peto T, Anderson E (1993) Microbiological lung surveillance in mechanically ventilated patients, using non-directed bronchial lavage and quantitative culture. Q J Med 86:635-648
8. Fabregas N, Ewig S, Torres A, El-Ebiary M, Ramirez J, de La Bellacasa JP, Bauer T, Cabello H (1999) Clinical diagnosis of ventilator-associated pneumonia revisited: comparative validation using immediate post-mortem lung biopsies [see comments]. Thorax 54:867-873
9. Fischer JE, Janousek M, Nadal D, Fanconi S (1998) Diagnostic techniques for ventilator-associated pneumonia [letter; comment]. Lancet 352:1066-1067
10. Flanagan PG, Findlay GP, Magee JT, Ionescu A, Barnes RA, Smithies M (2000) The diagnosis of ventilator-associated pneumonia using non-bronchoscopic, non-directed lung lavages. Intensive Care Med 26:20-30
11. Garrard CS, A'Court CD (1995) The diagnosis of pneumonia in the critically ill. Chest 108:17S-25S
12. Singh N, Rogers P, Atwood CW, Wagener MM, Yu VL (2000) Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care unit. A proposed solution for indiscriminate antibiotic prescription. Am J Respir Crit Care Med 162:505-511
13. Pingleton SK, Fagon JY, Leeper KV Jr (1992) Patient selection for clinical investigation of ventilator-associated pneumonia. Criteria for evaluating diagnostic techniques. Chest 102:553S-556S
14. Chastre J, Fagon JY, Soler P, Bornet M, Domart Y, Trouillet JL, Gibert C, Hance AJ (1988) Diagnosis of nosocomial bacterial pneumonia in intubated patients undergoing ventilation: comparison of the usefulness of bronchoalveolar lavage and the protected specimen brush [published erratum appears in Am J Med 86:258]. Am J Med 85:499-506
15. NCCLS (2001) National Commitee for Clinical Laboratory Standards: Performance standards for antimicrobial susceptibility testing. Eleventh informational supplement, Wayne, PA NCCLS Document 100-S111
16. Cohen J (1960) A coefficient of agreement for nominal scales. Education Psych Measure 20:37-46
17. Johanson WG Jr, Seidenfeld JJ, Gomez P, de los Santos R, Coalson JJ (1988) Bacteriologic diagnosis of nosocomial pneumonia following prolonged mechanical ventilation. Am Rev Respir Dis 137:259-264
18. Fartoukh M, Maitre B, Honore S, Cerf C, Zahar JR, Brun-Buisson C (2003) Diagnosing pneumonia during mechanical ventilation: the Clinical Pulmonary Infection Score revisited. Am J Respir Crit Care Med 168:173-179
19. Michaud S, Suzuki S, Harbarth S (2002) Effect of design-related bias in studies of diagnostic tests for ventilator-associated pneumonia. Am J Respir Crit Care Med 166:1320-1325
20. Hayon J, Figliolini C, Combes A, Trouillet JL, Kassis N, Dombret MC, Gibert C, Chastre J (2002) Role of serial routine microbiologic culture results in the initial management of ventilator-associated pneumonia. Am J Respir Crit Care Med 165:41-46
21. Pugin J, Auckenthaler R, Lew DP, Suter PM (1991) Oropharyngeal decontamination decreases incidence of ventilator-associated pneumonia. A randomized, placebo-controlled, double-blind clinical trial. JAMA 265:2704-2710