Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) on Length of Stay (LOS) among Mechanically Ventilated Cases

SALWA ABD ELAZEEM, M.D., SARA A.A.M. HEIKAL, M.Sc.;; DOA&#039;A A.E. SALEH, M.D., SAHAR YASSIN, M.D.*;; MOHAMMED, M.D., LAMIA&#039;A H.

doi:10.21608/mjcu.2019.54055

Assessment of Efficiency of Using Clinical Pulmonary Infection Score (CPIS) on Length of Stay (LOS) among Mechanically Ventilated Cases

Document Type : Original Article

Authors

The Departments of Public Health & Community Medicine* and Critical Care, Kasr El-Aini Hospital**, Faculty of Medicine, Cairo University

10.21608/mjcu.2019.54055

Abstract

Abstract
Background: VAP is pneumonia that develops in a me-chanically ventilated patient with a first positive bacterial culture beyond 48 hours after hospital admission or tracheal intubation, whichever occurred first. VAP burden relies on the increase of morbidity, cost, prolonged MV, ICU-Length of Stay (LOS) and hospital-length of stay.
Aim of Study: Improve health outcome of patients on Mechanical Ventilation (MV) through early diagnosis of (VAP), early management with appropriate antibiotics pre-scription using Clinical Pulmonary Infection Score (CPIS) and to decrease MV days, ICU-Length of Stay (LOS) and hospital-length of stay.
Methods: Operational research, quasi-experimental inter-ventional study design. The study was conducted in the in Critical Care Department in the Faculty of Medicine Cairo-University. The study has 2 phases Phase 1: Recruiting the Control group (40 cases) on MV not using CPIS. Phase 2: Recruiting the Interventional group (40 cases) on MV using CPIS.
Results: The most common organism in control group was Klebsiella 25% and in intervention group was MRSA 17.5%. The ICU LOS was significantly lower in patients who were followed by CPIS in intervention group.
Conclusion: CPIS considered tool to monitor patient's condition on MV for early modification which in turn reflected on ventilator days and ICU length of stay.

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