@article {Piriyapatsomrespcare.04280, author = {Annop Piriyapatsom and Hsin Lin and Massimiliano Pirrone and Gennaro De Pascale and Javier Corona De Lapuerta and Edward A Bittner and Ulrich H Schmidt and Marc De Moya and Lorenzo Berra}, title = {Evaluation of the Infection-Related Ventilator-Associated Events Algorithm for Ventilator-Associated Pneumonia Surveillance in a Trauma Population}, elocation-id = {respcare.04280}, year = {2015}, doi = {10.4187/respcare.04280}, publisher = {Respiratory Care}, abstract = {BACKGROUND: The Centers for Disease Control and Prevention have recently introduced new ventilator-associated pneumonia (VAP) surveillance on the basis of the infection-related ventilator-associated complication (IVAC) definition. We aim to evaluate the accuracy of this new IVAC algorithm for detecting VAP according to the 2008 Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) definition as the reference diagnosis (VAP-NHSN) in high-risk trauma patients.METHODS: This retrospective single-center study included all trauma subjects who were admitted to the ICU, required mechanical ventilation for \>48 h, and received a blood transfusion. The new IVAC surveillance and the criteria for VAP-NHSN diagnosis were applied. The accuracy of the new IVAC surveillance for detecting VAP-NHSN was determined, and the clinical outcomes were compared between groups.RESULTS: The sensitivity, specificity, and positive and negative predictive values of IVAC for VAP-NSHN identification were 28.12\%, 91.45, 58.06\%, and 75.14\%, respectively. Subjects with IVAC, VAP-NHSN, or both had higher morbidity when compared with those without IVAC and VAP-NHSN. Subjects with IVAC only had lower morbidity compared with those with VAP-NHSN only or those with both IVAC and VAP-NHSN. There was no significant difference in clinical outcomes between subjects with VAP-NHSN only and those with both IVAC and VAP-NHSN.CONCLUSIONS: IVAC criteria had a low accuracy for identifying VAP-NHSN in subjects with high-risk trauma.}, issn = {0020-1324}, URL = {https://rc.rcjournal.com/content/early/2015/11/10/respcare.04280}, eprint = {https://rc.rcjournal.com/content/early/2015/11/10/respcare.04280.full.pdf}, journal = {Respiratory Care} }