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. 2018 Oct 21;44(11):1777–1786. doi: 10.1007/s00134-018-5227-4

Table 2.

Characteristics and outcomes of patients who received mechanical ventilation for > 48 h

Variable Pre-intervention period Intervention period Post-intervention period
Sessions of mechanical ventilation 318 507 437
Total ventilator-days 3128 4234 3463
Ventilator-days at risk 2667 3920 3381
Total VAP episodes 67 45 13
First VAP episodes 64 (20.1%) 43 (8.5%)a 13(3%)b,c,d
 Early onset 25 (39.1%) 22 (51.2%) 4 (30.8%)
 Late onset 39 (60.9%) 21 (48.8%) 9 (69.2%)
 Diagnosed by bronchoalveolar lavage 10 (15.6%) 6 (14%) 4 (30.8%)
 Diagnosed by mini-bronchoalveolar lavage 34 (53.1%) 34 (79.1%)a 7 (53.8%)d
 Probable 28 (43.8%) 5 (11.6%)a 2 (15.4%)d
 Definite 36 (56.2%) 38 (88.4%) 11 (84.6%)
Total VAP incidence density rates per 1000 ventilator-days at risk (95% CI) 21.4 (16.3–26.6) 10.6 (7.5–13.7)a 3.8 (1.7–5.8)b,c,d
First VAP incidence density rates per 1000 ventilator-days at risk (95% CI) 24.0 (18.1–29.9) 11.0 (7.7–14.2)a 3.9 (1.8–5.9)b,c,d
First probable VAP incidence density rates per 1000 ventilator-days at risk (95% CI) 10.5 (6.6–14.4) 1.3 (0.2–2.4) 0.6 (− 0.2 to 1.4)
First definite VAP incidence density rates per 1000 ventilator-days at risk (95% CI) 13.5 (9.1–17.9) 9.7 (6.6–12.8) 3.3 (1.3–5.2)
Clinical Pulmonary Infection Score for VAP episodes, median (IQR) 8 (7–9) 8 (7–9) 8 (7–8)
Duration of mechanical ventilation for all mechanical ventilation sessions, median days (IQR) 7.14 (4.61–11.06) 6.50 (4.17–9.85)a 6.35 (4.15–9.74)c, d

Data are no. (%) of patients, unless otherwise indicated

CI confidence interval, IQR interquartile range, VAP ventilator-associated pneumonia

aSignificant P value between the pre-intervention and intervention periods

bSignificant P value between the intervention and post-intervention periods

cSignificant P value between the pre-intervention and post-intervention periods

dSignificant P value between the three periods