Pneumonia in an Intensive Care Unit: A 30-Month Experience

Autor: Stevens, Rose Marie, Teres, Daniel, Skillman, John J., Feingold, David S.
Zdroj: Archives of Internal Medicine; July 1974, Vol. 134 Issue: 1 p106-111, 6p
Abstrakt: Cases of pneumonia during the first 21/2 years of a respiratory-surgical intensive care unit (R-SICU) were analyzed. One hundred fifty-eight episodes of pneumonia were identified in 153 patients. Patients without pneumonia had a mortality of 3.8%. Patients admitted with or acquiring Gram-positive pneumonia did not have increased mortality. Patients who had Gram-negative pneumonias without involvement by Pseudomonas aeruginosa had a mortality of 33%. Isolation of Pseudomonas from respiratory cultures obtained from patients with pneumonia was associated with a mortality of 70%. Overall mortality of all patients admitted during the 30-month period was 13%. Eastablished Gram-negative Bacillus pneumonias are common, dangerous, and often not effectively treated. Environmental sources of Gram-negative pathogens should be reduced. Prophylactic regimens to prevent colonization of the respiratory tract may be helpful.
Databáze: Supplemental Index