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发表于2012年的一篇评论,专家呼吁修订VAP的监测定义。
论文题目:
Improving Surveillance Definitions for Ventilator-Associated Pneumonia in an Era of Public Reporting and Performance Measurement
Shelley S. Magill and Scott K. Fridkin
Surveillance Branch, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention,
Atlanta, Georgia
Clinical Infectious Diseases 2012;54(3):378–80
文中披露“
NQF is now requesting that the Centers for Disease Control and Prevention propose a new ventilator-associated pneumonia (VAP) measure for approval.”
为什么要修订监测定义。因为以往的监测来自于三个标准。
NHSN’s current pneumonia definitions, implemented in 2002, are designed to be used for surveillance of all healthcare-associated pneumonia events, including (but not limited to) VAP. As of
January 2011, approximately 900 facilities were participating in VAP surveillance through NHSN, including those from 3 states (Oklahoma, Washington, and
Pennsylvania) with VAP reporting mandates. There are currently 3 sets of criteria that can be used to report a VAP event to NHSN; all require radiographic evidence and signs and symptoms of pneumonia.
当然报道VAP必须有影像学的证据或者有肺样的症状或者症候。
因为CDC并没有形成指南,所以没有链接编辑所指全文。特此告知!
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