Interobserver variability in ventilator-associated pneumonia surveillance
Interobserver variability in ventilator-associated pneumonia surveillance
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DOI：
10.1016/j.ajic.2009.10.003
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发表时间：
2010-04-01
影响因子：
4.9
通讯作者：
Klompas, Michael
中科院分区：
文献类型：
--
作者：
Klompas, Michael
3名感染控制人员和1名医生通过回顾性病历审查独立评价了50例机械通气患者的呼吸机相关性肺炎。感染控制审查员使用疾病控制和预防中心的标准;医生使用临床判断。感染控制人员将11至20名患者标记为VAP（kappa = 0.40）。医生诊断了7例。呼吸机相关性肺炎评估的观察者间变异性较高。
Three infection control personnel and 1 physician independently evaluated 50 ventilated patients for ventilator-associated pneumonia through retrospective chart reviews. The infection control reviewers used Centers for Disease Control and Prevention criteria; the physician used clinical judgment. Infection control personnel labelled between 11 and 20 patients with VAP (kappa = 0.40). The physician diagnosed 7 cases. Interobserver variability in the assessment of ventilator-associated pneumonia is high.