Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy
Although the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of V...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2017-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/271936 |
| _version_ | 1797207816279162880 |
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| author | Tihana Magdić Turković Melanija Obraz Milana Zlatić Glogoški Ida Juranić Bruna Bodulica Josipa Kovačić |
| author_facet | Tihana Magdić Turković Melanija Obraz Milana Zlatić Glogoški Ida Juranić Bruna Bodulica Josipa Kovačić |
| author_sort | Tihana Magdić Turković |
| collection | DOAJ |
| description | Although the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of VAP patients with tracheotomy. The study was conducted in a 15-bed Surgical and Neurosurgical Intensive Care Unit (ICU), Sestre milosrdnice University Hospital Center in Zagreb, Croatia. The study included all patients undergoing only percutaneous tracheotomy during the study period. According to our data, the incidence of VAP among percutaneous tracheotomized patients was 42%, not considering the time between tracheotomy and VAP onset. However, when only patients developing VAP after tracheotomy were taken into account, the incidence of VAP among tracheotomized patients dropped to 8% only. The most commonly isolated bacterium was Staphylococcus aureus, accounting for 17 (37%) isolates, followed by Haemophilus influenzae, accounting for another 10 (22%) isolates. The development of VAP among percutaneously tracheotomized patients was associated with longer total ICU stay (regardless of whether VAP developed before or after tracheotomy), while total duration of mechanical ventilation and mortality rate remained unaffected. |
| first_indexed | 2024-04-24T09:28:55Z |
| format | Article |
| id | doaj.art-7b7dc39eb4ef495fbc7bdcec804b318a |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:28:55Z |
| publishDate | 2017-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-7b7dc39eb4ef495fbc7bdcec804b318a2024-04-15T14:16:18ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.1.9910910.20471/acc.2017.56.01.15Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous TracheotomyTihana Magdić Turković0Melanija Obraz1Milana Zlatić Glogoški2Ida Juranić3Bruna Bodulica4Josipa Kovačić5Department of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaOpus Medicus Occupational Health and Sports Medicine, Zagreb, CroatiaDepartment of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaAlthough the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of VAP patients with tracheotomy. The study was conducted in a 15-bed Surgical and Neurosurgical Intensive Care Unit (ICU), Sestre milosrdnice University Hospital Center in Zagreb, Croatia. The study included all patients undergoing only percutaneous tracheotomy during the study period. According to our data, the incidence of VAP among percutaneous tracheotomized patients was 42%, not considering the time between tracheotomy and VAP onset. However, when only patients developing VAP after tracheotomy were taken into account, the incidence of VAP among tracheotomized patients dropped to 8% only. The most commonly isolated bacterium was Staphylococcus aureus, accounting for 17 (37%) isolates, followed by Haemophilus influenzae, accounting for another 10 (22%) isolates. The development of VAP among percutaneously tracheotomized patients was associated with longer total ICU stay (regardless of whether VAP developed before or after tracheotomy), while total duration of mechanical ventilation and mortality rate remained unaffected.https://hrcak.srce.hr/file/271936Pneumonia, ventilator-associatedIncidenceTracheotomy – methods |
| spellingShingle | Tihana Magdić Turković Melanija Obraz Milana Zlatić Glogoški Ida Juranić Bruna Bodulica Josipa Kovačić Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy Acta Clinica Croatica Pneumonia, ventilator-associated Incidence Tracheotomy – methods |
| title | Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy |
| title_full | Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy |
| title_fullStr | Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy |
| title_full_unstemmed | Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy |
| title_short | Incidence, Etiology and Outcome of Ventilator-Associated Pneumonia in Patients with Percutaneous Tracheotomy |
| title_sort | incidence etiology and outcome of ventilator associated pneumonia in patients with percutaneous tracheotomy |
| topic | Pneumonia, ventilator-associated Incidence Tracheotomy – methods |
| url | https://hrcak.srce.hr/file/271936 |
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