About: Ventilator-associated pneumonia in neonates: the role of point of care lung ultrasound

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About: Ventilator-associated pneumonia in neonates: the role of point of care lung ultrasound Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Ventilator-associated pneumonia in neonates: the role of point of care lung ultrasound
Creator	De Luca, Daniele Uk, Basma, Yousef De Cunto, Angela Klein, John Meau, Virginie Meau-Petit, Virginie Tusor, Nora
source	PMC
abstract	No consensus exists regarding the definition of ventilator-associated pneumonia (VAP) in neonates and reliability of chest X-ray (CXR) is low. Lung ultrasound (LU) is a potential alternative diagnostic tool. The aim was to define characteristics of VAP in our patient population and propose a multiparameter score, incorporating LU, for VAP diagnosis. Between March 25, 2018, and May 25, 2019, infants with VAP were identified. Clinical, laboratory and microbiology data were collected. CXRs and LU scans were reviewed. A multiparameter VAP score, including LU, was calculated on Day 1 and Day 3 for infants with VAP and for a control group and compared with CXR. VAP incidence was 10.47 episodes/1000 ventilator days. LU and CXR were available for 31 episodes in 21 infants with VAP, and for six episodes in five patients without VAP. On Day 1, a VAP score of > 4, and on Day 3 a score of > 5 showed sensitivity of 0.94, and area under the curve of 0.91 and 0.97, respectively. AUC for clinical information only was 0.88 and for clinical and CXR 0.85. Conclusion: The multiparameter VAP score including LU could be useful in diagnosing VAP in neonates with underlying lung pathology.
has issue date	2020-06-26(xsd:dateTime)
bibo:doi	10.1007/s00431-020-03710-8
has license	cc-by
sha1sum (hex)	b6186a1e47c78d4495e64dc98a007ecda4df554e
schema:url	https://doi.org/10.1007/s00431-020-03710-8
resource representing a document's title	Ventilator-associated pneumonia in neonates: the role of point of care lung ultrasound
has PubMed Central identifier	PMC7317892
schema:publication	Eur J Pediatr
resource representing a document's body	covid:b6186a1e47c78d4495e64dc98a007ecda4df554e#body_text
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