United States Health Information Knowledgebase

 

VAP


Data Element ID: DE240
Name: VAP
Version: 1.1
Data Element ISO Name: Patient_Pneumonia-Ventilator,CD
Synonym: None defined at this time
Definition: Determination if the HAI being reported was a ventilator-associated pneumonia (VAP - i.e., the patient had a device to assist or control respiration continuously through a tracheostomy or by endotracheal intubation).
Question: Was it a ventilator-associated pneumonia (VAP - i.e., the patient had a device to assist or control respiration continuously through a tracheostomy or by endotracheal intubation)?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Healthcare-associated Infection
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Not applicable for this release
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: A ventilator-associated pneumonia (VAP) is a pneumonia (PNEU) that occurs in a patient who was intubated and ventilated at the time of, or within 48 hours before, the onset of the PNEU.
NOTE: There is no minimum period of time that the ventilator must be in place in order for the PNEU to be considered ventilator-associated.

A ventilator is a device to assist or control respiration continuously, inclusive of the weaning period, through a tracheostomy or by endotracheal intubation.
NOTE: Lung expansion devices such as intermittent positive pressure breathing (IPPB); nasal positive end-expiratory pressure (PEEP); continuous nasal positive airway pressure (CPAP, hypoCPAP) are not considered ventilators unless delivered via tracheostomy or endotracheal intubation (e.g., ET-CPAP)

A device-associated infection is an infection in a patient with a device (e.g., ventilator, central line or indwelling urinary catheter) that was used within the 48-hour period before onset of infection. If the interval is longer than 48 hours, there must be compelling evidence that the infection was associated with device use.
NOTE: There is no minimum period of time that the device must be in place in order for the infection to be considered device-associated.
Format: Not Applicable
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 3
Answer Code Answer ID Answer Value Code System Code System Name
A15 a Yes 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A18 b No 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: CDC NHSN Manual
http://www.cdc.gov/nhsn/PDFs/pscManual/6pscVAPcurrent.pdf
http://www.cdc.gov/nhsn/PDFs/pscManual/16pscKeyTerms_current.pdf
Rationale for Change: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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