Lower respiratory tract infections after abdominal operations: epidemiology and risk factors.

Autor:	Oller Sales B; Department of General Surgery, Hospital Germans Trias i Pujol, Barcelona, Spain., Armengol Carrasco M, Roig Cutillas J, de Castro Gutierrez J, Valero Millan J, Julian Ibanez J, Salvá Lacombe JA
Jazyk:	angličtina
Zdroj:	The European journal of surgery = Acta chirurgica [Eur J Surg] 1992 Feb; Vol. 158 (2), pp. 105-8.
Abstrakt:	Objective: To find out the incidence and aetiology of lower respiratory tract infections after abdominal operations and identify predisposing factors. Design: Prospective open study. Setting: Department of General Surgery, Hospital Germans Trias i Pujol, Barcelona, Spain. Subjects: 2,083 patients having abdominal operations between March 1985 and June 1987 excluding splenectomies, and those requiring thoracoabdominal incisions. Main Outcome Measures: The presence of three or more of the following: temperature of 38 degrees C or more, cough with mucopurulent sputum, raised white cell count, or changes on the chest radiograph or bronchogram. Results: 50 patients (2.4%) developed lower respiratory tract infections. Micro-organisms were isolated from 15 (30%), the most common being Haemophilus influenzae. The most important risk factors were American Society of Anesthesiologist's grade, duration of anaesthesia, age, and operations on the upper gastrointestinal tract. Conclusion: Further work is needed to investigate other possible predisposing factors and develop a predictive score.
Databáze:	MEDLINE
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