Pneumonia in intubated patients: Role of respiratory airway care

American Journal of Respiratory and Critical Care Medicine

Volumn 154, Issue 1, 1996, Pages 111-115

  Rello, Jordi ^a   Soñora, Rosario ^b   Jubert, Paola ^b   Artigas, Antonio ^b   Rué, Montse ^b   Vallés, Jordi ^b  

^a HOSPITAL DE SABADELL   (Spain)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; ARTIFICIAL VENTILATION; ASPIRATION; BACTERIAL COLONIZATION; CONTROLLED STUDY; ENDOTRACHEAL CUFF; ENDOTRACHEAL TUBE; FEMALE; HUMAN; INTUBATION; MAJOR CLINICAL STUDY; MALE; PNEUMONIA; PRIORITY JOURNAL; RISK FACTOR;

EID: 0030056157     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.154.1.8680665     Document Type: Article

References (21)

1. Craven, D. E., K. A. Steger, and T. W. Barber. 1991. Preventing nosocomial pneumonia: state of the art and perspectives for the 1990s. Am. J. Med. 91(Suppl. 3B):44S-54S.
2. Tobin, M. J., and A. Grenvik. 1984. Nosocomial lung infection and its diagnosis. Crit. Care Med. 12:191-199.
3. Torres, A., J. Serra-Batlles, E. Ros, C. Piera, J. Puig de la Bellacasa, A. Cobos, F. Lomeña, and R. Rodriguez-Roisin. 1992. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann. Intern. Med. 116:540-543.
4. Tablan, O. C., L. J. Anderson, N. H. Arden, R. F. Breiman, J. C. Butler, M. M. McNeil, and the Hospital Infection Control Practices Advisory Committee. 1994. Guidelines for prevention of nosocomial pneumonia. Infect. Control Hosp. Epidemiol. 15:587-590.
5. Vallés, J., A. Artigas, J. Rello, N. Bonsoms, D. Fontanals, Ll. Blanch, F. Baigorri, and J. Mestre. 1995. Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia. Ann. Intern. Med. 122:179-186.
6. Craven, D. E. 1995. Prevention of hospital-acquired pneumonia: measuring effect in ounces, pounds, and tons. Ann. Intern. Med. 122: 229-231.
7. Craven, D. E., L. A. Kunches, V. Kilinksy, D. A. Lichlenberg, B. J. Make, and W. R. McCabe. 1986. Risk factors for pneumonia and fatality in patients receiving continuous mechanical ventilation. Am. Rev. Respir. Dis. 133:792-796.
8. Kollef, M. H. 1993. Ventilator-associated pneumonia. A multivariate analysis. J.A.M.A. 270:1965-1970.
9. Torres, A., R. Aznar, J. M. Gatell, P. Jiménez, A. Gonzalez, A. Ferrer, R. Celis, and R. Rodriguez-Roisin. 1990. Incidence, risk, and prognosis factors of nosocomial pneumonia in mechanically ventilated patients. Am. Rev. Respir. Dis. 142:523-528.
10. Mahul, P. H., C. Auboyer, R. Josep, A. Ros, C. Guerin, Z. El Khouri, M. Galliez, A. Dumont, and O. Gaudin. 1992. Prevention of nosocomial pneumonia in intubated patients: respective role of mechanical subglottic secretions drainage and stress ulcer prophylaxis. Intensive Care Med. 18:20-25.
11. Fernández, R., Ll. Blanch, J. Mancebo, N. Bonsoms, and A. Artigas. 1990. Endotracheal tube cuff pressure assessment: pitfalls of finger estimation and need for objective measurement. Crit. Care Med. 18:1423-1426.
12. Knaus, W. A., E. A. Draper, D. P. Wagner, and J. E. Zimmerman. 1985. APACHE II: a severity of disease classification system. Crit. Care Med. 13:818-829.
13. Teasdale, G. and B. Jennett. 1974. Assessment of coma and impaired consciousness. A practical scale. Lancet 2:81-84.
14. Wimberley, N., L. J. Faling, and J. G. Bartlett. 1979. A fiberoptic bronchoscopy technique to obtain uncontaminated lower airway secretions for bacterial culture. Am. Rev. Respir. Dis. 119:337-343.
15. Lennette, E. H., A. Balows, Jr., W. J. Hausler, and H. J. Shadomy, editors. 1985. Manual of Clinical Microbiology, 4th ed. American Society for Microbiology, Washington DC.
16. Hosmer, D. W., and S. Lemeshow. 1989. Applied Logistic Regression. Wiley, New York. 38-81.
17. Rello, J., M. Ricart, V. Ausina, A. Net, and G. Prats. 1992. Pneumonia due to Haemophilus influenzae among mechanically ventilated patients. Incidence, outcome, and risk factors. Chest 102:1562-1565.
18. Rello, J., and A. Torres. 1996. Microbial etiology of ventilator-associated pneumonia. Semin. Respir. Infect. 11:1-8.
19. Rello, J., V. Ausina, M. Ricart, J. Castella, and G. Prats. 1993. Impact of previous antimicrobial therapy on the etiology and outcome of ventilator-associated pneumonia. Chest 104:1230-1235.
20. Rello, J., A. Torres, M. Ricart, J. Vallés, D. González, A. Artigas, and R. Rodriguez-Roisin. 1994. Ventilator-associated pneumonia by Staphylococcus aureus. Comparison of methicillin-resistant and methicillin-sensitive episodes. Am. J. Respir. Crit. Care Med. 150: 1545-1549.
21. Wunderink, R. G. 1993. Mortality and ventilator-associated pneumonia. The best antibiotics may be the least antibiotics. Chest 104:993-994.