Abstract:

Purpose: Ventilator-related pneumonia (VIP) is one of the most common, high mortality, and increased health care costs associated nozocomial infections in intensive care units. Early diagnosis and treatment of the pneumonia associated with the ventilator is known to reduce mortality and morbidity. In our study, we aimed at investigating the effectiveness of the Clinical Pulmonary Infection Score (KPES) system as a screening method in early detection of VIP. Tools and Methods: The study was done on 43 facts. The KPES parameters of each patient; body temperature, the number of leukocytes and morphology, the quantity and character of traceal secretion, arterial oxigenization, the presence of pulmonary infiltration in lung radiography, progress in pulmonary infiltration, microbiological culture results were recorded. The basal KPES value was calculated using the first 5 parameters of KPES in the patient’s placebo, the basal KPES value was calculated using the 7 parameters with the result of the culture 48 hours after entubation. Patients were followed by taking endotrakeal aspirat (ETA) samples between 3 days and calculating the KPES values as long as they remained in the support of a mechanical ventilator. With the data obtained, the patients were evaluated by dividing the development of the VIP into two groups as the VIP (+) and the VIP (-) above. Results: There is no difference between the basal KPES levels of cases (p>0.05) and a statistically significant difference between the 48 hour and the 5th day KPES values (p<0.01). There is a difference between the VIP (+) and VIP (-) incidents of the KPES levels prior to receiving the VIP diagnosis (p<0.01). Result: Repeated KPES measurements may help the clinic when there is a premature suspicious condition in the development of VIP and early treatment.

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