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
Rok vydání: 2004
Předmět:
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