AND One of the following Positive culture of endotracheal aspirate, 105 CFU/ml or equivalent ≥ result Positive culture of a bronchoalveolar lavage, 104 CFU/ml or equivalent ≥ result Positive culture of lung tissue, 104 CFU/ml or equivalent semi-quantitative ≥ result Positive culture of protected specimen brush, 103 CFU/ml or equivalent ≥ result Excludes the following Normal respiratory flora, mixed respiratory/oral flora or equivalent Candida species of yeast, not otherwise specified Coagulase-negative Staphylococcus species Enterococcus species OR Criteria 2: One of the following without the requirement for purulent respiratory secretions: – Positive pleural fluid culture (where specimen was obtained during thoracentesis or initial placement of chest tube and not from an indwelling chest tube) Includes these otherwise excluded organisms Candida species or not otherwise specified Coagulase-negative Staphylococcus species Enterrococcus species (including VRE) Positive lung histopathology Includes these otherwise excluded organisms Candida species or yeast not otherwise specified Coagulase-negative Staphylococcus species Enterrococcus species (including VRE) Positive diagnostic test for Legionella spp. Positive diagnostic test on respiratory secretions for influenza virus, respiratory syncytial virus, adenovirus, parainfluenza virus, rhinovirus, human metapneumovirus and coronavirus. Probable VAP: Case 23, Basic Case 1 (Criteria 1)
AND One of the following Positive culture of endotracheal aspirate, ≥ 105 CFU/ml or equivalent result Positive culture of a bronchoalveolar lavage, ≥ 104 CFU/ml or equivalent result Positive culture of lung tissue, ≥ 104 CFU/ml or equivalent semi-quantitative result Positive culture of protected specimen brush, ≥ 103 CFU/ml or equivalent result Excludes the following Normal respiratory flora, mixed respiratory/oral flora or equivalent Candida species of yeast, not otherwise specified Coagulase-negative Staphylococcus species Enterococcus species OR Criteria 2: One of the following – without the requirement for purulent respiratory secretions: Positive pleural fluid culture (where specimen was obtained during thoracentesis or initial placement of chest tube and not from an indwelling chest tube) Includes these otherwise excluded organisms Candida species or not otherwise specified Coagulase-negative Staphylococcus species Enterrococcus species (including VRE) Positive lung histopathology Includes these otherwise excluded organisms Candida species or yeast not otherwise specified Coagulase-negative Staphylococcus species Enterrococcus species (including VRE) Positive diagnostic test for Legionella spp. Positive diagnostic test on respiratory secretions for influenza virus, respiratory syncytial virus, adenovirus, parainfluenza virus, rhinovirus, human metapneumovirus and coronavirus. Probable VAP: Case 23, Basic Case 1 (Criteria 1)
NHSN_VAE_Rules_Summary_12.11.13_508.docx