Risk Factors for Infection by Acinetobacter baumannii in Intubated Patients With Nosocomial Pneumonia
| Autor: | Jordi Vallés, Dolors Mariscal, Jordi Rello, Miguel Gallego, Humberto Correa, Jorge Baraibar |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty ARDS Suction Critical Care and Intensive Care Medicine Risk Factors Cause of Death Internal medicine Epidemiology Confidence Intervals Intubation Intratracheal Odds Ratio Pneumonia Bacterial medicine Craniocerebral Trauma Humans Prospective Studies Intensive care medicine Lung Aged Cross Infection Respiratory Distress Syndrome Ventilators Mechanical Acinetobacter biology business.industry Sputum Ventilator-associated pneumonia Brain Odds ratio Middle Aged medicine.disease biology.organism_classification Respiration Artificial Acinetobacter baumannii Pneumonia Logistic Models Pulmonary aspiration Female Cardiology and Cardiovascular Medicine business Acinetobacter Infections Follow-Up Studies |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.112.4.1050 |
| Popis: | Study objective To investigate the epidemiology of infection by Acinetobacter baumannii in patients with ventilator-associated pneumonia (VAP). Design Prospective clinical study. Setting Three medical-surgical ICUs in teaching hospitals. Patients We followed up 707 mechanically ventilated patients and 148 episodes of VAP with etiologic diagnosis. Results A baumannii was isolated in 12 (8.1%) episodes in 148 patients. Five of these episodes were directly responsible for death. Using logistic regression analysis, the risk of VAP due to A baumannii was found to be high in patients with neurosurgery (odds ratio [OR]=10.03; 95% confidence interval [CI]=1.55 to 64.90), ARDS (OR=9.73; 95% CI=1.60 to 59.24), head trauma (OR=5.17; 95% CI=0.88 to 30.34), and large-volume pulmonary aspiration (OR=2.90; 95% 0=0.80 to 10.53). Conclusions Intubated patients who develop pneumonia and have any of the above factors are at an increased risk of Acinetobacter infection. |
| Databáze: | OpenAIRE |
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