How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia?
Introduction and purpose: hospital-acquired pneumonia and ventilator-associated pneumonia are common risk factors for morbidity and mortality. They are difficult to diagnose and treat due to the large number of factors that may contribute to the deterioration of the clinical condition of critically...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-06-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/43881 |
| _version_ | 1827928863315853312 |
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| author | Rafał Babiak Karolina Bajak Paulina Czuchryta Anastazja Domańska Agnieszka Gawęda Agata Grabek Julia Rutkowska Żaneta Rzęsa-Tokarczyk Klaudia Skorek Agnieszka Urbańczyk |
| author_facet | Rafał Babiak Karolina Bajak Paulina Czuchryta Anastazja Domańska Agnieszka Gawęda Agata Grabek Julia Rutkowska Żaneta Rzęsa-Tokarczyk Klaudia Skorek Agnieszka Urbańczyk |
| author_sort | Rafał Babiak |
| collection | DOAJ |
| description |
Introduction and purpose: hospital-acquired pneumonia and ventilator-associated pneumonia are common risk factors for morbidity and mortality. They are difficult to diagnose and treat due to the large number of factors that may contribute to the deterioration of the clinical condition of critically ill patients. In this article, the authors summarize the diagnosis, treatment and prevention of these diseases based on current guidelines, the latest research and other scientific works.
Material and metod: sources available in the PubMed database were analyzed using the following keywords: "pneumonia", "hospital-acquired pneumonia", "ventilator-associated pneumonia", "HAP", "VAP", publications related to the subject of the work were selected and used.
Conclusion: A patient with HAP or VAP should undergo non-invasive testing such as blood and sputum cultures and nasal swabs to isolate the pathogen responsible for the infection and to adjust antibiotic therapy. The procalcitonin level can be used in conjunction with the clinical assessment to assess the adjustment of the duration of treatment. Patients with HAP or VAP who are immunocompromised, haemodynamically unstable, or cannot be sampled from the lower respiratory tract for microbiological testing should be treated with empiric antibiotics based on individual risk factors and antibiotic resistance.
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| first_indexed | 2024-03-13T06:14:46Z |
| format | Article |
| id | doaj.art-9e75fc42001c4d8baf6731a6c07aa5b5 |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-03-13T06:14:46Z |
| publishDate | 2023-06-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-9e75fc42001c4d8baf6731a6c07aa5b52023-06-11T10:46:35ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-06-0136110.12775/JEHS.2023.36.01.007How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia?Rafał Babiak0Karolina Bajak1Paulina Czuchryta2Anastazja Domańska3Agnieszka Gawęda4Agata Grabek5Julia Rutkowska6Żaneta Rzęsa-Tokarczyk7Klaudia Skorek8Agnieszka Urbańczyk9Wojewódzki Szpital Specjalistyczny im. Kardynała Stefana Wyszyńskiego SPZOZ w LublinieWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ w Lublinie, Aleja Kraśnicka 100, 20-718 LublinWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego w LublinieWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ w Lublinie, Aleja Kraśnicka 100, 20-718 LublinWOJEWÓDZKI SZPITAL SPECJALISTYCZNY im. Stefana Kardynała Wyszyńskiego Samodzielny Publiczny Zakład Opieki Zdrowotnej w LublinieWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ w Lublinie, Aleja Kraśnicka 100, 20-718 LublinSPSK1 LublinSzpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp. z o.o.Wojewódzki Szpital Specjalistyczny im. Kardynała Stefana Wyszyńskiego SPZOZ w LublinieSamodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie Introduction and purpose: hospital-acquired pneumonia and ventilator-associated pneumonia are common risk factors for morbidity and mortality. They are difficult to diagnose and treat due to the large number of factors that may contribute to the deterioration of the clinical condition of critically ill patients. In this article, the authors summarize the diagnosis, treatment and prevention of these diseases based on current guidelines, the latest research and other scientific works. Material and metod: sources available in the PubMed database were analyzed using the following keywords: "pneumonia", "hospital-acquired pneumonia", "ventilator-associated pneumonia", "HAP", "VAP", publications related to the subject of the work were selected and used. Conclusion: A patient with HAP or VAP should undergo non-invasive testing such as blood and sputum cultures and nasal swabs to isolate the pathogen responsible for the infection and to adjust antibiotic therapy. The procalcitonin level can be used in conjunction with the clinical assessment to assess the adjustment of the duration of treatment. Patients with HAP or VAP who are immunocompromised, haemodynamically unstable, or cannot be sampled from the lower respiratory tract for microbiological testing should be treated with empiric antibiotics based on individual risk factors and antibiotic resistance. https://apcz.umk.pl/JEHS/article/view/43881pneumoniahospital-acquired pneumoniaventilator-associated pneumoniaHAPVAP |
| spellingShingle | Rafał Babiak Karolina Bajak Paulina Czuchryta Anastazja Domańska Agnieszka Gawęda Agata Grabek Julia Rutkowska Żaneta Rzęsa-Tokarczyk Klaudia Skorek Agnieszka Urbańczyk How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia? Journal of Education, Health and Sport pneumonia hospital-acquired pneumonia ventilator-associated pneumonia HAP VAP |
| title | How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia? |
| title_full | How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia? |
| title_fullStr | How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia? |
| title_full_unstemmed | How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia? |
| title_short | How to diagnose, treat and prevent from hospital-acquired and ventilator-associated pneumonia? |
| title_sort | how to diagnose treat and prevent from hospital acquired and ventilator associated pneumonia |
| topic | pneumonia hospital-acquired pneumonia ventilator-associated pneumonia HAP VAP |
| url | https://apcz.umk.pl/JEHS/article/view/43881 |
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