الفهرس 
Assessment of efficiency of using clinical pulmonary infection score (CPIS) among mechanically ventilated cases
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Abstract
Ventilator-associated pneumonia (VAP) is the most frequent nosocomial infection in the intensive care unit. VAP is defined as pneumonia that develops more than 48 hours after tracheal intubation. VAP prolongs the duration of ventilation, ICU stay and hospital stay, and increases healthcare costs, morbidity, and mortality. The challenges of managing VAP include the requirement for appropriate antimicrobial therapy, and the need to avoid administering unnecessary antibiotics to prevent emergence of resistant microorganism and to avoid excess hospital cost and prolonged hospital stay. In our study we use the clinical pulmonary infection score (CPIS) to help clinicians in early diagnosis of VAP, continuous monitoring of the VAP patients and to guide their decision to initiate or withhold antibiotic therapy with de-escalation according to the culture results and associated comorbidity of the patients