![]() ![]() PedVAE: This event is available for in-plan surveillance of mechanically ventilated inpatients in pediatric and neonatal locations only.In-plan surveillance for ventilator-associated PNEU (VAP) is not available for inpatients in adult or neonatal locations. PedVAP: This event uses the PNEU protocol and is available for in-plan surveillance of mechanically ventilated inpatients in pediatric locations only (regardless of the age of the patient).Pediatric and neonatal locations are excluded from VAE surveillance (even in circumstances where a pediatric unit may occasionally care for adult patients). VAE: This event is available for in-plan surveillance of mechanically ventilated inpatients in adult locations only (regardless of the age of the patient).What lower respiratory tract event surveillance can be done “in-plan”? A facility makes no commitment to follow the protocol for “off-plan” events. Data that are entered into NHSN “off-plan” are not used or reported in NSHN annual reports or other NHSN publications. “Off-plan” surveillance is surveillance that is done because you/your facility have decided to track a particular event for internal use. ![]() Keep in mind that “in-plan” surveillance means that you/your facility have committed to following the NHSN surveillance protocol for that particular event in your NHSN monthly reporting plan. Let’s review what is available for in-plan or off-plan surveillance of lower respiratory tract events in NHSN. We need to consider events occurring in patients on mechanical ventilation and events occurring in patients NOT on mechanical ventilation, and we have to consider events that occur in adults and events that occur in neonates and in children. We know this can be an area of confusion. Can you explain to me how these do (or do not) relate to one another and where surveillance for each can be performed? Lower Respiratory Tract Events Q1: I am confused about the different lower respiratory tract events that have definitions in NHSN – VAE, PedVAE, PedVAP, PNEU, and LRI.
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