Both early-onset and late-onset ventilator-associated pneumonia are caused mainly by potentially multiresistant bacteria
Autor: | Spyros Zakynthinos, George I. Minopoulos, Eleni Efraimidou, Konstantinos I. Manolas, Maria Panopoulou, Elpis Giantsou, Sofia Kartali-Ktenidou, Eleonora Alepopoulou, Nikolaos Liratzopoulos |
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Rok vydání: | 2004 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Drug resistance Critical Care and Intensive Care Medicine medicine.disease_cause law.invention law Risk Factors Intensive care Internal medicine Drug Resistance Multiple Bacterial medicine Humans Prospective Studies Intensive care medicine APACHE Aged medicine.diagnostic_test Pseudomonas aeruginosa business.industry Ventilator-associated pneumonia Pneumonia Middle Aged bacterial infections and mycoses medicine.disease Antimicrobial Intensive care unit Respiration Artificial respiratory tract diseases Intensive Care Units Bronchoalveolar lavage Female business Bronchoalveolar Lavage Fluid |
Zdroj: | Intensive care medicine. 31(11) |
ISSN: | 0342-4642 |
Popis: | To compare the causative pathogens of early-onset and late-onset ventilator-associated pneumonia (VAP) diagnosed by bronchoalveolar lavage quantitative cultures. Most previous reports have been based on endotracheal aspirate cultures and gave uncertain findings. Prospective evaluation of consecutive patients with clinical suspicion for VAP. Multidisciplinary intensive care unit of a university hospital. During a 3-year period 473 patients with clinical suspicion of VAP entered the study. Diagnosis of VAP was confirmed by cultures of bronchoalveolar lavage (>104 cfu/ml) specimens in 408 patients. Protected bronchoalveolar lavage samples were taken. Initial antibiotic therapy was modified upon bronchoalveolar lavage culture results. Among 408 patients 191 had early-onset ( |
Databáze: | OpenAIRE |
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