Chest x-ray findings and outcomes of children with suspected ventilator-associated pneumonia
Abstract
Background Ventilator-associated 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 hospital-acquired 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 x-ray
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 x-ray findings and patient outcomes were recorded. X-ray
findings were assessed by the on-duty 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 x-ray findings were categorized into the following
groups and compared to patient survivability: diffuse infiltrates
76.7% (OR=0.694; P=0.532; 95% CI 0.102 to 4.717), localhed
infiltrates 13.3% (OR=4.200; 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 x-ray findings had a significant correlation
to patient outcomes.
Conclusion There was no significant relationship between chest
x-ray findings and outcomes in children with suspected VAP.
[Paediatr rndones. 2012;52:233-8].
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Accepted 2016-08-31
Published 2012-08-31
