Infectious Pulmonary Complications in Resuscitation and Intensive Therapy in Victims with Concomitant Injury
Objective: to analyze the incidence of infectious pulmonary complications depending on the duration of mechanical ventilation and to study a spectrum of pneumonia pathogens and their antibiotic resistance in intensive care unit (ICU) victims with severe concomitant injury. Subjects and methods. Fort...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2011-08-01
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| Series: | Общая реаниматология |
| Online Access: | https://www.reanimatology.com/rmt/article/view/275 |
| Summary: | Objective: to analyze the incidence of infectious pulmonary complications depending on the duration of mechanical ventilation and to study a spectrum of pneumonia pathogens and their antibiotic resistance in intensive care unit (ICU) victims with severe concomitant injury. Subjects and methods. Forty-eight ICU victims with severe concomitant injury were examined. The incidence of purulent tracheobronchitis and pneumonia was analyzed depending on injury severity scores (ISS) and mechanical ventilation (MV) duration. Microorganisms were identified and their antibiotic susceptibility was determined. Results. The risk of infectious pulmonary complications was significantly higher and proportional to MV duration in victims with severe concomitant injury on traditional MV as compared those without MV (or on noninvasive ventilation). The pathogens of infectious pulmonary complications were chiefly gram-negative bacteria. Conclusion. There is evidence that there is an association between the ISS, the performance and duration of MV, the structure of pathogens, and their antibiotic resistance. Key words: infectious pulmonary complications, pneumonia, concomitant injury, mortality. |
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| ISSN: | 1813-9779 2411-7110 |