Non-ventilator health care-associated pneumonia (NV-HAP): The infection preventionist's role in identifying NV-HAP

Abstract

One of the fundamental challenges in nonventilator health care-associated pneumonia (NV-HAP) surveillance is identifying cases and standardizing surveillance protocols. This section highlights clinical pneumonia definitions and current surveillance definitions, as well as the difficulty in case finding methodologies. In addition, we review current microbiology and molecular testing methods. Further, we explore future opportunities to leverage the electronic health care record in attempt to identify a reliable less burdensome data identification and collection methodology. Finally, we highlight the importance of a collaborative approach to prevention of NV-HAP, as well as strategies to assist the IP with facilitating interdisciplinary communication and uptake of evidence-based implementation strategies.

The Impact of 3S2E Nursing Management on the Psychological Status of Respiratory Function and Quality of Life of Patients with Severe Pneumonia in the ICU

“…A common respiratory condition that requires special treatment is severe pneumonia. e patient's lung tissue develops from acidosis, hypoxia, and viral and bacterial attack, which usually a ects multiple organs [1][2][3]. Severe pneumonia may progress to multiple organ dysfunction syndromes and septic shock, and the disease is life-threatening with high mortality, which requires timely and e ective treatment [4,5].…”

“…At present, the treatment plan and nursing intervention for severe pneumonia still need to be improved, and effective nursing intervention is particularly critical for the rehabilitation of patients [ 2 , 6 ]. The intervention of “3S2E” nursing management model in patients with severe pneumonia can improve the patient's respiratory function and reduce their anxiety and depression [ 1 , 7 ]. Therefore, this study focused on 3S2E on respiratory function, psychological health, and standard of living of ICU patients with severe pneumonia.…”

Performance of ICD-10-AM codes for quality improvement monitoring of hospital-acquired pneumonia in a haematology-oncology casemix in Victoria, Australia

“…Surveillance -based CDC/NHSN criteria in the immunocompromised patient often do not correlate with clinical diagnoses (Sposato, 2020), which require specific radiological, microbiological, and symptomatic evidence indicating pneumonia (Horan et al, 2008). We show this to be self-evident given that 86% (95% CI: 74, 94; n = 48) of discordant cases with documented ‘hospital-acquired pneumonia’ or ‘HAP’ in the discharge summary were diagnosed on clinical grounds with either a positive sputum result and/or radiology report consistent with pneumonia, but at odds with surveillance definitions where all criteria must be met.…”

Case Management of Respiratory Failure in Pneumonia: Literature Review

“…Kemudian karena pada kasus pasien mengalami kegagalan pernapasan akut sehingga membutuhkan ventilator yang lengkap atau biasa disebut pneumonia terkait ventilator (VAP) adalah pneumonia yang terjadi pada pasien yang menggunakan ventilasi mekanis lebih dari dua hari pada saat kejadian dengan dimulainya ventilasi mekanis tersebut (Sposato, 2020).…”

“…Pada pasien dengan perawatan jangka panjang, jenis pneumonia ini sangat membutuhkan bukti rotgen dada dari pneumonia atau adanya tanda gejala sebagai berikut batuk baru atau batuk meningkat, produksi dahak baru atau meningkat, demam, nyeri dada pleuritik baru atau meningkat, meningkat pada temuan pemeriksaan dada atau salah satu dari indikasi perubahan status atau pernapasan yang memburuk seperti, dispnea meningkat atau frekuensi pernapasan lebih dari 25kali per menit atau status mental ataupun fungsional yang memburuk yang diharuskan pasien untuk dipindahkan ke ruang perawatan intensif (Sposato, 2020). Gambaran CT scan dipengaruhi oleh perjalanan klinis, Pasien asimtomatis: cenderung unilateral, multifokal, predominan gambaran ground-glass.…”