Incidence and characteristics of ventilator-associated pneumonia in a regional non-tertiary Australian intensive care unit: protocol for a retrospective clinical audit study
| Autor: | Anestis Divanoglou, David Austin, Luke J. Heales, Karen Smith, Jeremy Fernando, Elise Tan, Kirsty Watson, Josephine Reoch |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Clinical audit medicine.medical_specialty Anestesi och intensivvård medicine.medical_treatment education 030106 microbiology law.invention respiratory infections 03 medical and health sciences 0302 clinical medicine law Intensive care Epidemiology Protocol medicine Humans respiratory medicine (see thoracic medicine) 030212 general & internal medicine Retrospective Studies Mechanical ventilation Medical Audit Anesthesiology and Intensive Care business.industry Incidence Medical record Incidence (epidemiology) clinical audit Intensive Care Ventilator-associated pneumonia Pneumonia Ventilator-Associated General Medicine bacterial infections and mycoses medicine.disease Intensive care unit Hospitals respiratory tract diseases Intensive Care Units Research Design Emergency medicine epidemiology Queensland business |
| Zdroj: | BASE-Bielefeld Academic Search Engine BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2018-021733 |
| Popis: | IntroductionVentilator-associated pneumonia (VAP) is a medical complication associated with prolonged mechanical ventilation. Most studies looking at VAP originate from major, tertiary intensive care units (ICUs). Our understanding of VAP in regional hospitals is limited. Given that patient characteristics often differ between metropolitan and regional centres, it is important to investigate VAP in a regional non-tertiary ICU. This project will establish and report the incidence, case characteristics and outcomes including mortality and length of stay related to VAP in a regional non-tertiary Australian ICU. Furthermore, it will compare the incidence of VAP in accordance with consultant diagnosed cases in the medical record, and by a post hoc screening of all cases against a list of previously published diagnostic criteria.Methods and analysisThis retrospective clinical audit study will screen medical records from the period 1 January 2013 to 31 December 2016. All cases requiring mechanical ventilation for ≥72 hours will be screened against previously reported diagnostic criteria for VAP. At the same time, their medical records will be screened for a documented diagnosis of VAP.Ethics and disseminationThis study has been granted ethical approval from the Central Queensland Hospital and Health Service (CQHHS) Human Research Ethics Committee (HREC/17/QCQ/11) and the Central Queensland University Human Research Ethics Committee (H17/05-102). This study will be submitted for publication in a peer-reviewed scientific journal and presented at internal workshops (within Queensland Health) and national and/or international scientific conferences. |
| Databáze: | OpenAIRE |
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