TITLE

Strategies in the Prevention and Management of Ventilator-Associated Pneumonia

AUTHOR(S)
Pieracci, Fredric M.; Barie, Philip S.
PUB. DATE
May 2007
SOURCE
American Surgeon;May2007, Vol. 73 Issue 5, p419
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Ventilator-associated pneumonia (VAP) is a leading cause of morbidity and mortality in the intensive care unit. Prevention of VAP is possible through the use of several evidence-based strategies intended to minimize intubation, the duration of mechanical ventilation, and the risk of aspiration of oropharyngeal pathogens. Current data favor the quantitative analysis of lower respiratory tract cultures for the diagnosis of VAP, accompanied by the initiation of broad-spectrum empiric antimicrobial therapy based on patient risk factors for infection with multidrug-resistant pathogens and data from unit-specific antibiograms. Eventual choice of antibiotic and duration of therapy are selected based on culture results and patient stability, with an emphasis on minimization of unnecessary antibiotic use.
ACCESSION #
25013655

 

Related Articles

  • HOSPITAL-ACQUIRED PNEUMONIA IN ICU PATIENTS. Uvizl, Radovan; Hanulik, Vojtěch; Husickova, Vendula; Sedlakova, Miroslava Htoutou; Adamus, Milan; Kolar, Milan // Biomedical Papers of the Medical Faculty of Palacky University i;Dec2011, Vol. 155 Issue 4, p373 

    Background. This prospective study aimed at assessing the effect of initial antibiotic therapy on the mortality of patients with hospital-acquired pneumonia (HAP) by analyzing bacterial pathogens and their resistance to antimicrobial agents. Methods. Included were patients hospitalized in the...

  • Atypical pneumonia in adults in southern Africa. Dlamini, S. K.; Mendelson, M. // South African Family Practice;Aug/Sep2012, Vol. 54 Issue 4, p286 

    The true incidence of Legionella pneumophilia, Mycoplasma pneumoniae, Chlamydophila pneumoniae and Coxiella burnetti, the so-called atypical pathogens that cause adult community-acquired pneumonia in southern Africa, is unknown. Although there are a lack of community-based studies,...

  • Early and potent antibacterial therapy is central to effective management of ventilator-associated pneumonia.  // Drugs & Therapy Perspectives;Feb2007, Vol. 23 Issue 2, p11 

    Ventilator-associated pneumonia (VAP), the most frequently occurring nosocomial pneumonia in the intensive care unit, greatly increases morbidity and mortality. Empirical antibacterial therapy needs to be potent, broad-spectrum, and adapted to individual patient characteristics and the local...

  • Empirical antibiotic therapy for pneumonia in intensive care units: a multicentre, retrospective analysis of potentially pathogenic microorganisms identified by endotracheal aspirates cultures. Scholte, J.; Duong, H.; Linssen, C.; Dessel, H.; Bergmans, D.; Horst, R.; Savelkoul, P.; Roekaerts, P.; Mook, W. // European Journal of Clinical Microbiology & Infectious Diseases;Nov2015, Vol. 34 Issue 11, p2295 

    The purpose of this investigation was to explore the presumed relationship between the days of hospitalisation and microorganisms identified by endotracheal aspirate cultures in relation to adequate empirical treatment strategies of pneumonia in the intensive care unit (ICU). All potentially...

  • The Problem of Antimicrobial Resistance in Nosocomial Medical and Surgical Intensive Care Units Infections in a University Hospital; a Two-Year Prospective Study. Incecik, Şaban; Saltoğlu, Neşe; Yaman, Akgün; Karayaylali, Ibrahim; Özalevli, Mehmet; Gündüz, Murat; Burgut, Refik // Turkish Journal of Medical Sciences;2009, Vol. 39 Issue 2, p295 

    Aim: To determine the frequency of nosocomial infections (NIs) and the antimicrobial resistance of pathogens isolated from patients admitted to 4 intensive care units (ICUs) at a university hospital. Materials and Methods: The patients were prospectively followed over 2 years in medical,...

  • SENSIBILIDADE DE ACINETOBACTER BAUMANNII EM UMA UNIDADE DE TERAPIA INTENSIVA DE PONTA GROSSA- PR. DA SILVA, CARLA LUIZA; ROSSETIN, LILIANA LAURA; DA ROCHA, MARIA DAGMAR // UNINGÁ Review;Jan-Mar2013, Vol. 13 Issue 1, p95 

    Acinetobacter baumannii are important hospital pathogens, due to survive for long periods on surfaces and develop resistance to multiple drugs, favoring their persistence in the units. Objectives: To raise the bacterial sensitivity of Acinetobacter baumannii in an intensive care unit (ICU), and...

  • Ventilator Associated Pneumonia. Izkurt, Sibel; Sungurtekin, H&ntild;/4lya; Aydemir, Nese; Atalay, Habip; Zencir, Mehmet; Baser, Sevin; Kaleli, Ilknur // Internet Journal of Gastroenterology;2007, Vol. 5 Issue 2, p2 

    Background: Ventilator associated pneumonia (VAP) is the most common nosocomial infection in the intensive care unit (ICU). Aims: A retrospective study was undertaken to examine the incidence, pathogens of VAP, and to identify risk factors associated with its development, and to assess outcomes....

  • Ventilator-associated pneumonia in a tertiary care hospital in India: role of multi-drug resistant pathogens. Joseph, Noyal Mariya; Sistla, Sujatha; Dutta, Tarun Kumar; Badhe, Ashok Shankar; Rasitha, Desdemona; Parija, Subhash Chandra // Journal of Infection in Developing Countries;2010, Vol. 4 Issue 4, p218 

    Background: Ventilator-Associated Pneumonia (VAP) is the most frequent intensive-care-unit (ICU)-acquired infection. The aetiology of VAP varies with different patient populations and types of ICUs. Methodology: A prospective study was performed over a period of 15 months in a tertiary care...

  • A study on nosocomial pathogens in ICU with special reference to multiresistant Acinetobacter baumannii harbouring multiple plasmids. Patwardhan, R. B.; Dhakephalkar, P. K.; Niphadkar, K. B.; Chopade, B. A. // Indian Journal of Medical Research;Aug2008, Vol. 128 Issue 2, p178 

    Background & objectives: Antibiotic resistant bacterial nasocomial infections are a leading problem in intensive care units (ICU). Present investigation was undertaken to know antibiotic resistance in Acinetobacter baumannii and some other pathogens obtained from clinical samples from ICU...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics