Prediction of pulmonary aspergillosis in patients with ventilator-associated pneumonia.

Background: Predictors of ICU-acquired pulmonary aspergillosis (IPA) are not well-established in critically ill patients with ventilator-associated pneumonia (VAP), making IPA commonly misdiagnosed and anti-fungal therapy delayed. We aimed to develop a clinical score for prediction of IPA among patients with VAP.

Methods: Mechanically ventilated patients who developed VAP in 4 ICUs in Bretagne, Western France, were included.