2013, Number 2
<< Back Next >>
Med Crit 2013; 27 (2)
Epidemiological features of pneumonia in intensive care units of San Luis Potosi
Martínez-González M, Lazo de la Vega-Jasso S, Olán-Uscanga C, Ramírez-de Reza JJ, Eraña García JA
Language: Spanish
References: 17
Page: 83-90
PDF size: 141.39 Kb.
ABSTRACT
Introduction: Pneumonia is one of the more frequent causes of sepsis in the ICU settings; worldwide literature reported a great variability data concerning this pathology.
Objective: To describe pneumonia characteristics in Intensive Care Unit in San Luis Potosí.
Design: Analysis of the prospective study «Incidence and morbi-mortality related to sepsis in Intensive Care Units from San Luis Potosí» collected from July 1
st 2006 to June 30
st 2007 from three general hospitals.
Patients: Admitted to Intensive Care Unit and › 15 years of age.
Methods: Demographic clinical aspects and infection episodes were collected during their Intensive Care Units stay.
Results: From 350 patients, 155 developed infections, with 34.3% pneumonia cases; 33 were considered as Intensive Care Units-acquired, and 28 of them as ventilator-associated pneumonia; infection rate was calculated as 24 cases of pneumonia/1,000 ventilator-days. Intubation during cardiopulmonary resuscitation, and 10 days-length of mechanical ventilation were identified as risk factors for ventilator-associated pneumonia. Principal isolated microorganism was Ps. aeruginosa. Hospital and Intensive Care Unit length of stay, antibiotics use and organic failures incidence were greater in ventilator-associated pneumonia patients.
Conclusions: Ventilator-associated pneumonia incidence is very high in our hospitals and its morbid-mortality is similar to those internationally reported.
REFERENCES
Neumonías. Un Consenso Nacional de Expertos. Dresde Editorial Médica. 2002.
Cashat M, Ortiz F. Neumonía nosocomial. En: Solórzano F, Díaz R, Miranda G. Tópicos selectos en infecciones nosocomiales. Ed. Grapundi 2003.
Bautista E, Aguirre J. Neumonía nosocomial. En: González A, Conde JM. Cuidados intensivos en el paciente séptico. Ed. Prado 2002.
Ponce de León-Rosales SP, Molinar-Ramos F, Domínguez-Cherit G, Rangel-Frausto MS, Vázquez-Ramos VVG. Prevalence of infections in Intensive Care Units in Mexico: a multicenter study. Crit Care Med 2000;28:1316-1321.
Chastre J. Ventilator-associated pneumonia. Am J Respir Crit Care Med 2002;165:867-904.
Vincent JL, Bihari D, Suter P, et al. The Prevalence of Nosocomial Infection in Intensive Care Units in Europe (EPIC study). JAMA 1995;274:639-644.
Fartoukh M. Diagnosing pneumonia during mechanical ventilation. Am J Respir Crit Care Med 2002;168:173-179.
Höffken G and Niederman M. The importance of a De-escalating strategy for antibiotic treatmen of pneumonia in the ICU. Chest 2002;122:2183-2196.
Fagon J-Y, Chastre J, Vaugnat A, Trouillet J-L, Novara A, Gibert C. Nosocomial pneumonia and mortality among patients in intensive care units. JAMA 1996;275:866-869.
Martínez M, Lazo de la Vega S, Eraña JA. Neumonía asociada a ventilación mecánica: Incidencia, etiología y factores de riesgo en una Unidad de Cuidados Intensivos. Rev Asoc Mex Med Crit y Ter Int 2005;19:163-168.
Rello J, Vidaur L, Sndiumenge A, et al. De-escalation therapy in ventilator-associated pneumonia. Crit Care Med 2004;32:2183-2189.
Garner J, Jarvis W, Emori G, Horan T, Hughes J. CDC definitions for nosocomial infections. Am J infect Control 1998;16:128-40.
Sánchez-Velázquez LD. Capacidad discriminativa y costo de los sistemas de calificación de la gravedad de la enfermedad en la Unidad de Terapia Intensiva. Rev Asoc Mex Med Crit y Ter Int 1999;13:100-104.
Carrillo-Esper R, Carrillo-Córdova JR, Carrillo-Córdova LD. Estudio epidemiológico de la sepsis en unidades de terapia intensiva mexicana. Cir Ciruj 2009;77:301-308.
Sánchez-Velázquez LD, Ponce de León S, Rangel-Frausto S M. The Burden of Nosocomial Infection in the Intensive Care Unit: Effects on Organ Failure, Mortality and Costs. A Nested Case-Control Study. Arch Med Res 2006;37:370-375.
Silva E, De Almeida M, Beltrami AC, et al. Brazilian sepsis epidemiological study (BASES study). Critical Care 2004;8:R251-R260.
Ranes J, Gordon S, Chen P, et al. Predictors of long-term mortality in patients with ventilator associated pneumonia. Am J Med 2006;119:897.e13-897.e19.