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2015, Number 4

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Rev Cub Med Int Emerg 2015; 14 (4)

Low respiratory infection associated with mechanical ventilation

Viera PA, Reyes LG, Viera HA, Frómeta ML

Language: Spanish
References: 15
Page: 43-53
PDF size: 202.53 Kb.


ABSTRACT

Introduction: Tracheobronchitis and pneumonia associated with mechanical ventilation are the low respiratory tract infection related with this procedure, they are the main infections acquired in the intensive care units.
Objective: To determine the low respiratory infection incidence related with mechanic ventilation in adults hospitalized in intensive care unit in “Isla de la Juventud”.
Methods: Descriptive, prospective and transversal study about behavior of low respiratory infection associated with mechanical ventilation was realized in the intensive care unit at “Heroes del Baire” hospital in “Isla de la Juventud”, 2012-2014 years.
Results: APACHE II medium was 17.4 point. The rates and incidence density of tracheobronchitis was higher than pneumonia. Coma and previous use of antibiotics were the most frequent risk factors. The average hospital overstay was 14 days in ill patients. Enterobacter. sp and Acinetobacter. sp were gram negative bacterium more observed. Antimicrobial resistance was more than 50 percent.
Conclusions: Both rate and incidence density of low respiratory infection associated with mechanical ventilation were higher, tracheobronchitis predominated as an independent entity and affected hospital overstay in patients with mechanical ventilation.


REFERENCES

  1. Edwards JR, Peterson KD, Yi Mu Y, Banerjee S, Allen-Bridson K, Morrell G. National Healthcare Safety Network (NHSN) report: Data summary for 2006 through 2008. Am J Infect Control. 2009;37: 783-805.

  2. Lambert ML, Suetens C, Savey A, Palomar M, Hiesmayr M, Morales I, et al. Clinical outcomes of health-care-associated infections and antimicrobial resistance in patients admitted to European intensive-care units: a cohort study. Lancet Infect Dis. 2011;11: 30-8.

  3. Nseir S, Di Pompeo C, Pronnier P, Beaque S, Onimus T, Saulnier F, et al. Nosocomial tracheobronchitis in mechanically ventilated patients: incidence, etiology and outcome. Eur Respir J. 2002;20: 1483-89.

  4. Craven DE, Hjalmarson KI. Ventilator-Associated Tracheobronchitis and Pneumonia: Thinking Outside the Box. Clinical Infectious Diseases. 2010;51(1):59-66

  5. Nseir S, Di Pompeo C, Soubrier S, Lenci H, Delour P, Onimus T, et al. Effect of ventilator-associated tracheobronchitis on outcome in patients without chronic respiratory failure: a case–control study. Critical Care. 2005; 9:238-45.

  6. Center for Infectious Diseases. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 to June 2002. Am J Infect Control. 2002;30: 458-75.

  7. Cuza Anselmo A, Castellanos-Gutiérrez R, González-Aguilera JC, Reyes-Tornés R, Vázquez-Belizón Y, Somoza-García ME, et al. Incidencia y consecuencias de la traqueobronquitis asociada a ventilación mecánica en unidades de cuidados intensivos. Rev cubana med [revista en la Internet]. 2013 Mar [citado 2013 Sep 18] ; 52(1): 14-24. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232013000100003&lng=es

  8. Fica CA, Cifuentes DM, Hervé EB. Actualización del Consenso "Neumonía asociada a ventilación mecánica" Primera parte: Aspectos diagnósticos. Rev. chil. infectol. [revista en la Internet]. 2011 Abr [citado 2013 Sep 18]; 28(2): 130-151. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182011000200005&lng=es http://dx.doi.org/10.4067/S0716-10182011000200005

  9. Sistemas de Valoración Pronóstica y Escalas Evaluadoras en Medicina Intensiva. Morales Larramendi R, Escalona Velázquez NA. en Terapia Intensiva. Armando Caballero. Tomo I. Editorial Ciencias Médicas. 2006: 48-71.

  10. 10.Estudio Nacional de Vigilancia de Infección Nosocomial en Servicios de Medicina Intensiva. Informe 2012. [Internet]. 2012 [citado 25 Abr. 2012]. Disponible en: http://hws.vhebron.net/envin-helics/Help/Informe%20ENVIN-UCI%202012.pdf

  11. 11.Estudio Nacional de Vigilancia de Infección Nosocomial en Servicios de Medicina Intensiva. Informe 2013. [Internet]. 2013 [citado 12 Feb. 2013]. Disponible en: http://hws.vhebron.net/envin-helics/Help/Informe%20ENVIN-UCI%202013.pdf

  12. 12.Abdo Cuza A, Castellanos Gutiérrez R, González Aguilera JC, Reyes Tornés R, Vázquez Belizón Y, Somoza García ME, et al. Incidencia de la Infección relacionada con el cuidado sanitario en unidades de cuidados intensivos en Cuba. InvestMedicoquir. 2013;5 (1): 4-24.

  13. 13.Abdo Cuza A, Castellanos Gutiérrez R, González Aguilera JC, Somoza García ME, Viera Paz A, Corcho Martínez A, et al. Incidencia de la Infección relacionada con el cuidado sanitario en unidades de cuidados intensivos en Cuba. Año 2012. InvestMedicoquir. 2013;5 (2): 179-194.

  14. 14.González Estrada L, Valido Lantigua P, Susarte González Y. Caracterización clínico epidemiológica de la infección asociada a la asistencia sanitaria. Unidad de Cuidados Intensivos. 2010-2011. [CD-ROM] Número Especial de la Revista Cubana de Medicina Intensiva y Emergencias. URGRAV 2013.

  15. 15.Abdo Cuza A, González aguilera JC, Vázquez Belizón Y, Somoza García ME, Viera Paz A, Corcho Martínez A, et al. Incidencia y consecuencias de la traqueobronquitis asociada a ventilación mecánica en unidades de cuidados intensivos. Rev Cubana Med 2013;52(1): 14-24.




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