Independent risk factors associated with hospital-acquired pneumonia in an adult ICU: 4-year prospective cohort study in a university reference hospital

Journal of Public Health (United Kingdom)

Volumn 38, Issue 2, 2016, Pages 378-383

  Guzmán Herrador, Bernardo ^a   Molina, Carmen Díaz ^a,b   Allam, Mohamed Farouk ^b   Navajas, Rafael Fernández Crehuet ^a,b  

^a HOSPITAL UNIVERSITARIO REINA SOFÍA   (Spain)

^b UNIVERSITY OF CÓRDOBA   (Spain)

Author keywords

Cohort study; Hospital acquired; ICU; Pneumonia; Risk factors; University hospital

Indexed keywords

ADULT; AGED; APACHE; CROSS INFECTION; DIGESTIVE TRACT INTUBATION; FEMALE; HUMAN; INTENSIVE CARE UNIT; MALE; MECHANICAL VENTILATOR; MICROBIOLOGY; MIDDLE AGED; PNEUMONIA; PROPORTIONAL HAZARDS MODEL; PROSPECTIVE STUDY; RISK FACTOR; UNIVERSITY HOSPITAL;

ADULT; AGED; APACHE; CROSS INFECTION; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; INTENSIVE CARE UNITS; INTUBATION, GASTROINTESTINAL; MALE; MIDDLE AGED; PNEUMONIA; PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES; RISK FACTORS; VENTILATORS, MECHANICAL;

EID: 84979273025     PISSN: 17413842     EISSN: 17413850     Source Type: Journal    
DOI: 10.1093/pubmed/fdv042     Document Type: Article

References (21)

1. Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias: Estudio nacional de vigilancia de infección nosocomial en los servicios de medicina intensiva (ENVIN-UCI). Informe, 2009.
2. Llanos-Mendez A, Diaz-Molina C, Barranco-Quintana JL et al. Factors influencing hospital infection in patients in the intensive care unit. Gac Sanit 2004;18(3):190-6.
3. Organización Mundial de la Salud. Prevención de las infecciones nosocomiales. Guía práctica. http://www.who.int/csr/resources/ publications/ES-WHO-CDS-CSR-EPH-2002-12.pdf (March 2011, date last accessed).
4. Torres A, Ramirez P. Risk factors for intensive care unit-acquired nosocomial pneumonia. Is there something new? Med Clin (Barc) 2007;128(20):775-6.
5. Vaque J, Rossello J, Grupo de trabajo EPINE. Evolución de la prevalencia de las infecciones nosocomiales en hospitales españoles. Proyecto EPINE 1990-1999. Madrid, 2001.
6. Horan TC, Gaynes R. Surveillance of nosocomial infections. In: Mayhall CG (ed). Hospital Epidemiology and Infection Control. Philadelphia: Lippincott Williams & Wilkins, 2004,1659-702.
7. Knaus WA, Draper EA, Wagner DP et al. APACHE II: a severity of disease classification system. Crit Care Med 1985;13(10):818-29.
8. Estudio de prevalencia de las infecciones nosocomiales (EPINE) 2010. http://www.sempsph.com/sempsph/Informe-EPINE-2010- ESPAÑ A.pdf (March 2011, date last accessed).
9. Chastre J, Fagon JY. Ventilator-associated pneumonia. Am J Respir Crit Care Med 2002;165(7):867-903.
10. Coffin SE, Klompas M, Classen D et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals. Infect Control Hosp Epidemiol 2008;29(Suppl. 1):S31-40.
11. Hyllienmark P, Gardlund B, Persson JO et al. Nosocomial pneumonia in the ICU: a prospective cohort study. Scand J Infect Dis 2007;39(8): 676-82.
12. Tablan OC, Anderson LJ, Besser R et al. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004;53(RR-3):1-36.
13. Wolkewitz M, Vonberg RP, Grundmann H et al. Risk factors for the development of nosocomial pneumonia and mortality on intensive care units: application of competing risks models. Crit Care 2008;12(2):R44.
14. Carrilho CM, Grion CM, Bonametti AM et al. Multivariate analysis of the factors associated with the risk of pneumonia in intensive care units. Braz J Infect Dis 2007;11(3):339-44.
15. Koenig SM, Truwit JD. Ventilator-associated pneumonia: diagnosis, treatment, and prevention. Clin Microbiol Rev 2006;19(4):637-57.
16. Fernandez-Crehuet R, Diaz-Molina C, de Irala J et al. Nosocomial infection in an intensive-care unit: identification of risk factors. Infect Control Hosp Epidemiol 1997;18(12):825-30.
17. Lapresta Moros C, Solano Bernad VM, del Villar Belzunce A et al. Predictive model for nosocomial pneumonia in intensive care units. Med Clin (Barc) 2007;128(20):761-5.
18. Alp E, Guven M, Yildiz O et al. Incidence, risk factors and mortality of nosocomial pneumonia in intensive care units: a prospective study. Ann Clin Microbiol Antimicrob 2004;3:17.
19. Giard M, Lepape A, Allaouchiche B et al. Early-and late-onset ventilator-associated pneumonia acquired in the intensive care unit: comparison of risk factors. J Crit Care 2008;23(1): 27-33.
20. Hortal J, Giannella M, Perez MJ et al. Incidence and risk factors for ventilator-associated pneumonia after major heart surgery. Intensive Care Med 2009;35(9):1518-25.
21. de Irala-Estevez J, Martinez-Concha D, Diaz-Molina C et al. Comparison of different methodological approaches to identify risk factors of nosocomial infection in intensive care units. Intensive Care Med 2001;27(8):1254-62.