Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus
Healthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed i...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2012
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| _version_ | 1797084304019292160 |
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| author | Loan, H Parry, J Nga, N Yen, L Binh, N Thuy, T Duong, N Campbell, J Thwaites, L Farrar, J Parry, C |
| author_facet | Loan, H Parry, J Nga, N Yen, L Binh, N Thuy, T Duong, N Campbell, J Thwaites, L Farrar, J Parry, C |
| author_sort | Loan, H |
| collection | OXFORD |
| description | Healthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed in a semi-recumbent (30°) or supine position. A total of 229 adults and children (aged ≥1 year) with severe tetanus admitted to hospital in Vietnam, were randomly assigned to a supine (n = 112) or semi-recumbent (n = 117) position. For patients maintaining their assigned positions and in hospital for > 48. h there was no significant difference between the two groups in the frequency of clinically suspected pneumonia [22/106 (20.8%) vs 26/104 (25.0%); p = 0.464], pneumonia rate/1000 intensive care unit days (13.9 vs 14.6; p = 0.48) and pneumonia rate/1000 ventilated days (39.2 vs 38.1; p = 0.72). Mortality in the supine patients was 11/112 (9.8%) compared with 17/117 (14.5%) in the semi-recumbent patients (p = 0.277). The overall complication rate [57/112 (50.9%) vs 76/117 (65.0%); p = 0.03] and need for tracheostomy [51/112 (45.5%) vs 69/117 (58.9%); p = 0.04) was greater in semi-recumbent patients. Semi-recumbent body positioning did not prevent the occurrence of HCAP in severe tetanus patients. [Clinical Trials.gov Identifier: NCT01331252]. © 2011 Royal Society of Tropical Medicine and Hygiene. |
| first_indexed | 2024-03-07T01:53:36Z |
| format | Journal article |
| id | oxford-uuid:9af86156-0710-4de9-a1f0-a73fbf41e899 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:53:36Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:9af86156-0710-4de9-a1f0-a73fbf41e8992022-03-27T00:25:11ZSemi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9af86156-0710-4de9-a1f0-a73fbf41e899EnglishSymplectic Elements at Oxford2012Loan, HParry, JNga, NYen, LBinh, NThuy, TDuong, NCampbell, JThwaites, LFarrar, JParry, CHealthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed in a semi-recumbent (30°) or supine position. A total of 229 adults and children (aged ≥1 year) with severe tetanus admitted to hospital in Vietnam, were randomly assigned to a supine (n = 112) or semi-recumbent (n = 117) position. For patients maintaining their assigned positions and in hospital for > 48. h there was no significant difference between the two groups in the frequency of clinically suspected pneumonia [22/106 (20.8%) vs 26/104 (25.0%); p = 0.464], pneumonia rate/1000 intensive care unit days (13.9 vs 14.6; p = 0.48) and pneumonia rate/1000 ventilated days (39.2 vs 38.1; p = 0.72). Mortality in the supine patients was 11/112 (9.8%) compared with 17/117 (14.5%) in the semi-recumbent patients (p = 0.277). The overall complication rate [57/112 (50.9%) vs 76/117 (65.0%); p = 0.03] and need for tracheostomy [51/112 (45.5%) vs 69/117 (58.9%); p = 0.04) was greater in semi-recumbent patients. Semi-recumbent body positioning did not prevent the occurrence of HCAP in severe tetanus patients. [Clinical Trials.gov Identifier: NCT01331252]. © 2011 Royal Society of Tropical Medicine and Hygiene. |
| spellingShingle | Loan, H Parry, J Nga, N Yen, L Binh, N Thuy, T Duong, N Campbell, J Thwaites, L Farrar, J Parry, C Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus |
| title | Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus |
| title_full | Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus |
| title_fullStr | Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus |
| title_full_unstemmed | Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus |
| title_short | Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus |
| title_sort | semi recumbent body position fails to prevent healthcare associated pneumonia in vietnamese patients with severe tetanus |
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