Risk Factors of Rello et al for Ventilator-Associated Pneumonia (VAP) Due to Pseudomonas aeruginosa

 

Patient selection: ICU patient with ventilator-associated pneumonia following recent antibiotic exposure

 

Risk factors for Pseudomonas aeruginosa as the etiologic agent on multivariate analysis:

(1) onset 5 days or more after admission to the ICU (> 4 days)

(2) adult respiratory distress syndrome (ARDS)

(3) absence of coma

(4) corticosteroid use

 

Additional factors seen on the univariate analysis:

(1) dialysis

(2) COPD

(3) nonsurgical patient

 

VAP with onset during the first 4 days of ICU admission is usually due to another organism.