Clinical pulmonary infection score (CPIS) as a screening tool in ventilatory associated pneumonia (VAP)

dc.WoS.categoriesMedicine, General & Internalen_US
dc.contributor.authorBaşyiğit, Selma
dc.date.accessioned2021-03-12T09:18:03Z
dc.date.available2021-03-12T09:18:03Z
dc.date.issued2017
dc.departmentMeslek Yüksekokulları, Sağlık Hizmetleri Meslek Yüksekokulu, İlk ve Acil Yardım Bölümüen_US
dc.description.abstractObjective: Ventilator-associated pneumonia (VAP) is one of the leading nosocomial infections in intensive care units (ICUs), causing high mortality and increased health care costs. It is known that early diagnosis and treatment reduces mortality and morbidity. In this study, we aimed to assess the efficacy of Clinical Pulmonary Infection Score (CPIS) in early diagnosis in VAP. Material and Methods: The study was performed on 43 cases. Clinical Pulmonary Infection Score parameters of each patient; body temperature, leukocyte count and morphology, volume and character of tracheal secretions, arterial oxygenation, pulmonary infiltration on chest X-ray, progression of pulmonary infiltration, microbiological culture results were recorded. Clinical Pulmonary Infection Scores were calculated at admission using the first five parameters of CPIS (basal CPIS) and after 48 hours following intubation, using seven parameters with the tracheal aspirate (TA) culture results. The patients were followed with CPIS calculated during the mechanical ventilation and with tracheal aspirate (TA) cultures obtained every three days. The patients were grouped as VAP (+) and VAP (-) in accordance with the obtained data. Results: Basal CPIS levels were similar between the two groups (p>0.05), while significant differences were detected between the 48th hour and 5th day CPIS (p<0.01). There was difference between the pre-diagnosed CPIS levels of VAP (+) and VAP (-) cases (p<0.01). Conclusion: Serial CPIS measurements can help the clinician in early diagnosis and treatment of VAP.en_US
dc.fullTextLevelFull Texten_US
dc.identifier.doi10.5350/SEMB.20170208030528en_US
dc.identifier.urihttps://hdl.handle.net/11411/3389
dc.identifier.urihttps://doi.org/10.5350/SEMB.20170208030528
dc.identifier.wosWOS:000461109300008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.issue2en_US
dc.language.isotren_US
dc.nationalInternationalen_US
dc.numberofauthors1en_US
dc.pages133-141en_US
dc.publisherKARE PUBLen_US
dc.relation.ispartofMEDICAL BULLETIN OF SISLI ETFAL HOSPITALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPneumoniaen_US
dc.subjectintensive careen_US
dc.subjectventilator-associateden_US
dc.titleClinical pulmonary infection score (CPIS) as a screening tool in ventilatory associated pneumonia (VAP)en_US
dc.typeArticleen_US
dc.volume51en_US

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