Paediatrica Indonesiana (Aug 2012)
Chest x-ray findings and outcomes of children with suspected ventilator .. associated pneumonia
Abstract
Background Ventilatorassociated pneumonia (VAP) is a nosocomial infection in patients who have received mechanical ventilation (MV), either by endotracheal intubation or tracheostomy, for more than 48 hours. YAP represents 80% of all hospitalacquired pneumonias. VAP incidence varies from 5.1 %33.3%. The modified clinical pulmonary infection score is a criteria for diagnosing suspected YAP and typically includes radiographic evidence. YAP is associated with significant morbidity and mortality. Objective To determine the relationship between chest xray findings and outcomes in children Mth suspected VAP. Methods This retrospective study was held in Dr. Kariadi Hospital from January - December 2010. Data was collected from medical records of pediatric ICU (PICU) patients with suspected VAP. Chest xray findings and patient outcomes were recorded. Xray findings were assessed by the onduty radiologist. Chi square test was used for statistical analysis. Results Subjects were 30 children consisting of 14 males and 16 females. Patient outcomes were 23 patients survived and 7 patients died. Chest xray findings were categorized into the following groups and compared to patient survivability: diffuse infiltrates 76.7% (OR0.694; P0.532; 95% CI 0.102 to 4.717), localhed infiltrates 13.3% (OR4.200; P 0.225; 95% CI 0.470 t037.49), and no infiltrates 10% (OR 1.222; P 0.436; 95% CI 0.593 to 0.926). None of the xray findings had a significant correlation to patient outcomes. Conclusion There was no significant relationship between chest xray findings and outcomes in children with suspected VAP. [Paediatr rndones. 2012;52:233-8].
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