J. Raymond, Y. Aujard, and E. S. Group, Nosocomial Infections in Pediatric Patients A European, Multicenter Prospective Study, Infect Control Hosp Epidemiol, vol.21, issue.4, pp.260-263, 2000.

M. Urrea, M. Pons, M. Serra, C. Latorre, and A. Palomeque, Prospective incidence study of nosocomial infections in a pediatric intensive care unit, Pediatr Infect Dis J, vol.22, issue.6, p.490, 2003.

R. Srinivasan, J. Asselin, G. Gildengorin, J. Wiener-kronish, and F. Hr, A Prospective Study of Ventilator-Associated Pneumonia in Children, Pediatrics, vol.123, issue.4, pp.1108-1115, 2009.

S. S. Magill, Q. Li, C. Gross, M. Dudeck, K. Allen-bridson et al., Incidence and Characteristics of Ventilator-Associated Events Reported to the National Healthcare Safety Network in 2014, Crit Care Med, vol.44, issue.12, pp.2154-2162, 2016.

M. Chomton, D. Brossier, M. Sauthier, E. Vallières, J. Dubois et al., Ventilator-Associated Pneumonia and Events in Pediatric Intensive Care: A Single Center Study, Pediatr Crit Care Med, vol.19, issue.12, pp.1106-1113, 2018.

Y. Peña-lópez, M. Pujol, M. Campins, A. González-antelo, J. Á. Rodrigo et al., Implementing a care bundle approach reduces ventilator-associated pneumonia and delays ventilator-associated tracheobronchitis in children: differences according to endotracheal or tracheostomy devices, Int J Infect Dis, vol.52, pp.43-48, 2016.

M. Manjhi, S. Das, M. Pal, I. Saha, and A. Sr, Incidence, risk factors, clinico-microbiological profile, change in ventilator settings needed and outcome of 135 ventilator associated pneumonia cases in pediatric intensive care unit (PICU) of a tertiary care centre in Eastern India, J Pediatr Neonatal Individ Med, vol.7, issue.1, p.70122, 2018.

S. W. Patrick, A. T. Kawai, K. Kleinman, J. R. Vaz, L. Gay et al., Health Care-Associated Infections Among Critically Ill Children in the US, Pediatrics, vol.134, issue.4, pp.705-712, 2007.

G. A. Shaath, A. Jijeh, F. Faruqui, L. Bullard, A. Mehmood et al., Ventilator-Associated Pneumonia in Children After Cardiac Surgery, Pediatr Cardiol, vol.35, issue.4, pp.627-631, 2014.

G. Vijay, A. Mandal, J. Sankar, A. Kapil, R. Lodha et al., Ventilator Associated Pneumonia in Pediatric Intensive Care Unit: Incidence, Risk Factors and Etiological Agents, Indian J Pediatr, vol.85, issue.10, pp.861-866, 2018.

P. Malhotra, N. Kumar, K. Thapar, and A. K. Bagga, Comparative study of incidence, risk factors, etiological agents and outcome of early and late ventilator associated pneumonia in paediatric intensive care unit at a tertiary care centre, Int J Contemp Pediatr, vol.5, issue.3, pp.708-713, 2018.

S. Gupta, B. M. Boville, R. Blanton, G. Lukasiewicz, J. Wincek et al., A Multicentered Prospective Analysis of Diagnosis, Risk Factors, and Outcomes Associated With Pediatric Ventilator-Associated Pneumonia, Pediatr Crit Care Med, vol.16, issue.3, p.65, 2015.

M. F. Patria, G. Chidini, L. Ughi, C. Montani, E. Prandi et al., Ventilator-associated pneumonia in an Italian pediatric intensive care unit: a prospective study, World J Pediatr WJP, vol.9, issue.4, pp.365-368, 2013.

M. H. Hamid, M. A. Malik, J. Masood, A. Zia, and T. M. Ahmad, Ventilator-associated pneumonia in children, J Coll Physicians Surg--Pak JCPSP, vol.22, issue.3, pp.155-158, 2012.

B. D. Albert, D. Zurakowski, L. J. Bechard, G. P. Priebe, C. P. Duggan et al., Enteral Nutrition and Acid-Suppressive Therapy in the PICU: Impact on the Risk of Ventilator-Associated Pneumonia, Pediatr Crit Care Med, vol.17, issue.10, pp.924-929, 2016.

R. Samransamruajkit, S. Jirapaiboonsuk, S. Siritantiwat, O. Tungsrijitdee, J. Deerojanawong et al., Effect of frequency of ventilator circuit changes (3 vs 7 days) on the rate of ventilator-associated pneumonia in PICU, J Crit Care, vol.25, issue.1, pp.56-61, 2010.

R. Casado, M. De-mello, R. De-aragão, F. De-albuquerque-m-de, and J. B. Correia, Incidence and risk factors for health care-associated pneumonia in a pediatric intensive care unit, Crit Care Med, vol.39, issue.8, pp.1968-1973, 2011.

M. Hamele, C. Stockmann, M. Cirulis, J. Riva-cambrin, R. Metzger et al., Ventilator-Associated Pneumonia in Pediatric Traumatic Brain Injury, J Neurotrauma, vol.33, issue.9, pp.832-839, 2016.

D. M. Kusahara, C. Enz-c-da, A. Avelar, M. Peterlini, . Pedreira-m-da et al., Risk Factors for Ventilator-Associated Pneumonia in Infants and Children: a Cross-sectional Cohort Study, Am J Crit Care, vol.23, issue.6, pp.469-476, 2014.

A. Haque, Q. Riaz, and S. A. Ali, Implementation of Ventilator Bundle in Pediatric Intensive Care Unit of a Developing Country, J Coll Physicians Surg--Pak JCPSP, vol.27, issue.5, pp.316-318, 2017.

K. Chinnadurai, L. Fenlason, B. Bridges, M. Espahbodi, S. Chinnadurai et al., Implementation of a Sustainable Ventilator-Associated Pneumonia Prevention Protocol in a Pediatric Intensive Care Unit in Managua, Dimens Crit Care Nurs, vol.35, issue.6, pp.323-331, 2016.

A. De-cristofano, V. Peuchot, A. Canepari, V. Franco, A. Perez et al., Implementation of a Ventilator-Associated Pneumonia Prevention Bundle in a Single PICU, Pediatr Crit Care Med, vol.17, issue.5, pp.451-456, 2016.

A. A. Cheema, A. M. Scott, K. J. Shambaugh, J. N. Shaffer-hartman, R. E. Dechert et al., Rebound in ventilator-associated pneumonia rates during a prevention checklist washout period, BMJ Qual Saf, vol.20, issue.9, pp.811-817, 2011.

M. T. Bigham, R. Amato, P. Bondurrant, J. Fridriksson, C. D. Krawczeski et al., Ventilator-Associated Pneumonia in the Pediatric Intensive Care Unit: Characterizing the Problem and Implementing a Sustainable Solution, J Pediatr, vol.154, issue.4, pp.582-587, 2009.

T. C. Horan, M. Andrus, and M. A. Dudeck, CDC/NHSN surveillance definition of health careassociated infection and criteria for specific types of infections in the acute care setting, Am J Infect Control, vol.36, issue.5, pp.309-332, 2008.

A. Magiorakos, A. Srinivasan, R. B. Carey, Y. Carmeli, M. E. Falagas et al., Multidrugresistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance, Clin Microbiol Infect, vol.18, issue.3, pp.268-281, 2012.

S. Phongjitsiri, J. Coss-bu, C. Kennedy, J. Silva, J. Starke et al., The Centers for Disease Control and Prevention's New Definitions for Complications of Mechanical Ventilation Shift the Focus of Quality Surveillance and Predict Clinical Outcomes in a PICU, Crit Care Med, vol.43, issue.11, pp.2446-2451, 2015.

M. Leone, L. Bouadma, B. Bouhemad, O. Brissaud, S. Dauger et al., Pneumonies associées aux soins de réanimation, Anesth Réanimation, vol.4, issue.5, pp.421-441, 2018.

A. C. Kalil, M. L. Metersky, M. Klompas, J. Muscedere, D. A. Sweeney et al., Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia, 2016.

, Clinical Practice Guidelines by the Infectious Diseases Society of America and the, Clin Infect Dis, vol.63, issue.5, pp.61-111, 2016.

M. Klompas, Advancing the science of ventilator-associated pneumonia surveillance. Crit Care, vol.16, p.165, 2012.

, Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia by the American Thoracic Society and the Infectious Diseases Society of America, Am J Respir Crit Care Med, vol.171, issue.4, pp.388-416, 200515.

J. Morinec, J. Iacaboni, and M. Mcnett, Risk Factors and Interventions for Ventilator-Associated Pneumonia in Pediatric Patients, J Pediatr Nurs, vol.27, issue.5, pp.435-442, 2012.

H. Sharma, D. Singh, P. Pooni, and U. Mohan, A study of profile of ventilator-associated pneumonia in children in Punjab, J Trop Pediatr, vol.55, issue.6, pp.393-395, 2009.

M. Richardson, S. Hines, G. Dixon, L. Highe, and J. Brierley, Establishing nurse-led ventilatorassociated pneumonia surveillance in paediatric intensive care, J Hosp Infect, vol.75, issue.3, pp.220-224, 2010.

E. Iosifidis, S. Stabouli, A. Tsolaki, V. Sigounas, E. Panagiotidou et al., Diagnosing ventilator-associated pneumonia in pediatric intensive care, Am J Infect Control, vol.43, issue.4, pp.390-393, 2015.

M. M. Cirulis, M. T. Hamele, C. R. Stockmann, T. D. Bennett, and S. L. Bratton, Comparison of the New Adult Ventilator-Associated Event Criteria to the Centers for Disease Control and Prevention Pediatric Ventilator-Associated Pneumonia Definition (PNU2) in a Population of Pediatric Traumatic Brain Injury Patients., Comparison of the New Adult Ventilator-Associated Event Criteria to the CDC Pediatric VAP Definition (PNU2) in a Population of Pediatric Traumatic Brain Injury Patients, Pediatr Crit Care Med, vol.17, issue.2, pp.157-164, 2016.

E. Iosifidis, E. Chochliourou, A. Violaki, E. Chorafa, S. Psachna et al., Evaluation of the New Centers for Disease Control and Prevention Ventilator-Associated Event Module and Criteria in Critically Ill Children in Greece, Infect Control Hosp Epidemiol, vol.37, issue.10, pp.1162-1166, 2016.

M. Almuneef, Z. A. Memish, H. H. Balkhy, H. Alalem, and A. Abutaleb, Ventilator-Associated Pneumonia in a Pediatric Intensive Care Unit in Saudi Arabia: A 30-Month Prospective Surveillance, Infect Control Hosp Epidemiol, vol.25, issue.9, pp.753-758, 2004.

A. Sachdev, K. Chugh, M. Sethi, D. Gupta, C. Wattal et al., Diagnosis of ventilator-associated pneumonia in children in resource-limited setting: A comparative study of bronchoscopic and nonbronchoscopic methods*, Pediatr Crit Care Med, vol.11, issue.2, p.258, 2010.

D. F. Willson, A. Kirby, and J. S. Kicker, Respiratory secretion analyses in the evaluation of ventilatorassociated pneumonia: a survey of current practice in pediatric critical care, Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc, vol.15, issue.8, pp.715-719, 2014.

D. F. Willson, M. Conaway, R. Kelly, and J. O. Hendley, The lack of specificity of tracheal aspirates in the diagnosis of pulmonary infection in intubated children, Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc, vol.15, issue.4, pp.299-305, 2014.

, Ventilator-Associated Event (VAE) -CDC