But a positive Gram's stain may guide the initial antibiotic therapy. Invasive diagnostic testing is not routinely manage suspected ventilator-associated pneumonia. National Nosocomial Infections Surveillance System. Am J Respir Crit Care Med. Hospital-acquired pneumonia: perspectives for the healthcare epidemiologist.
Treatment of Ventilator-Associated Pneumonia -- European Perspective. The Clinical Pulmonary Infection Score revisited. Selective decontamination of subglottic area in mechanically ventilated patients with multiple trauma. Diagnosis of Ventilator-Associated Pneumonia; One American's Perspective; M. Am J Respir Crit Care Med.
Enteral nutrition in patients receiving mechanical ventilation. Selective decontamination of the digestive tract in surgical patients. Protective effect of intravenously administered cefuroxime against nosocomial pneumonia in patients with structural coma. Nosocomial pneumonia: diagnosis, epidemiology and treatment. Prospective payment and infection control. Long-term respiratory support and risk of pneumonia in critically ill patients. Ventilator-associated pneumonia: A multivariate analysis.
Contents: Machine generated contents note: I Diagnosis of Pneumonia -- Jean-Yves Fagon and Jean Chastre -- 2, Diagnosis of Ventilator-Associated Pneumonia -- One American's Perspective -- Michael S. Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Randomized, controlled trial of selective digestive decontamination in 600 mechanically ventilated patients in a multidiciplinary intensive care unit. Am J Respir Crit Care Med. We therefore are pleased to include contributions from experts and investigators offering different perspectives on some of these controversial areas. Benefits of postpyloric enteral access placement by a nutrition support dietitian.
Two types of tracheal suction catheters are used on ventilated patients; the open, single-use catheters and the closed, multiple-use catheters. Am J Respir Crit Care Med. . Extending ventilator circuit change interval beyond 2 days reduces the likelihood of ventilator-associated pneumonia. Resistant Pathogens: Emergence and Control; P.
Noninvasive ventilation in immunosuppressed pstients with pulmonary infiltrates, fever, and acute respiratory failure. Efforts should be concentrated in continuous education of healthcare workers to maintain high levels of compliance. There were no significant differences from the baseline period and intervention period in terms of percentages of each specialty for all centres. Am J Respir Crit Care Med. Am J Respir Crit Care Med. Risk factors for developing pneumonia within 48 hours of intubation. Clinicians can choose optimal diagnostic test for specific patients in their clinical setting.
Role of the Oropharynx and Digestive Tract in the Pathogenesis of Ventilator-Associated Pneumonia; C. Implications of endotracheal tube biofilm for ventilator-associated pneumonia. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Also, continuous or intermittent suctioning of oropharyngeal and upper respiratory tract secretions above endotracheal cuffs can prevent aspiration. Am J Respir Crit Care Med. Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients.
However, in a recent study, Souweine et al. Changing bacterial ecology during a five-year period of selective intestinal decontamination. Am Rev Respir Crit Care Med. Nosocomial respiratory infections with gram-negative bacilli. Effect of nasogastric tube size on gastroesophageal reflux and microaspiration in intubated patients. Mechanical ventilation with or without 7-day circuit changes.
Prospective study of nosocomial pneumonia and of patient and circuit colonization during mechanical ventilation with circuit changes every 48 hours versus no change. Investigators believe that it helps the drainage of pulmonary secretions. Treatment of Ventilator-Associated Pneumonia -- North American Perspective: -- Richard G. Am J Respir Crit Care Med. Prospective, randomized study of ventilator-associated pneumonia in patients with one versus three ventilator circuit changes per week.