RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

Respiratory infection in the chronically critically ill patient : Ventilator-associated pneumonia and tracheobronchitis

Auteur(s) / Author(s)

AHMED Qanta A. A. (1) ; NIEDERMAN Michael S. (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Critical Care Medicine, King Fahad National Guard Hospital, Riyadh, ARABIE SAOUDITE
(2) Department of Medicine, State University of New York at Stony Brook, Stony Brook, New York, ETATS-UNIS
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Winthrop-University Hospital, Mineola, ETATS-UNIS

Résumé / Abstract

Nosocomial pneumonia and tracheobronchitis are common in mechanically ventilated patients, but the chronically ventilated patient presents unique management problems. Although many chronically ventilated patients develop pneumonia, the daily risk is lower than for short-term ventilated patients, reflecting a survivor effect and an inherently better ability to resist infection compared with the acutely ill ventilated patient. Chronically ventilated patients have many reservoirs for exposure to large numbers of bacteria, including respiratory therapy devices and the hospital environment. Exposure to bacteria can lead to tracheobronchial colonization with gram-negative bacteria, a common harbinger of pneumonia. Colonization does not always lead to infection, especially if host defenses are adequate. Colonization may be eliminated when host defenses improve, as can occur with nutritional support. Respiratory infection can involve highly resistant bacteria, and therapy must be prompt and accurate. For organisms that are resistant to available antibiotics, adjunctive inhaled antibiotics may be beneficial.

Revue / Journal Title

Clinics in chest medicine    ISSN  0272-5231   CODEN CCHMDA 

Source / Source

2001, vol. 22, no 1 (237 p.)  (77 ref.), [Note(s) : viii, 71-85 [16 p.]]

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1980) (Revue)

Mots-clés anglais / English Keywords

Mechanical ventilation

;

Human

;

Complication

;

Pneumonia

;

Bacteriosis

;

Chronic

;

Nosocomial infection

;

Pathophysiology

;

Tracheitis

;

Bronchitis

;

Risk factor

;

Colonization

;

Treatment

;

Infection

;

Respiratory intensive care

;

Respiratory disease

;

Lung disease

;

Diseases of the trachea

;

Bronchus disease

;

Mots-clés français / French Keywords

Ventilation mécanique

;

Homme

;

Complication

;

Pneumonie

;

Bactériose

;

Chronique

;

Infection nosocomiale

;

Physiopathologie

;

Trachéite

;

Bronchite

;

Facteur risque

;

Colonisation

;

Traitement

;

Infection

;

Réanimation respiratoire

;

Appareil respiratoire pathologie

;

Poumon pathologie

;

Trachée pathologie

;

Bronche pathologie

;

Mots-clés espagnols / Spanish Keywords

Ventilación mecánica

;

Hombre

;

Complicación

;

Neumonía

;

Bacteriosis

;

Crónico

;

Infección nosocomial

;

Fisiopatología

;

Traqueitis

;

Bronquitis

;

Factor riesgo

;

Colonización

;

Tratamiento

;

Infección

;

Reanimación respiratoria

;

Aparato respiratorio patología

;

Pulmón patología

;

Tráquea patología

;

Bronquio patología

;

Localisation / Location

INIST-CNRS, Cote INIST : 18877, 35400009880528.0050

Nº notice refdoc (ud4) : 969512



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas