Ventilator-associated tracheobronchitis: where are we now?

Nseir, Saad; Martín‐Loeches, Ignacio

doi:10.5935/0103-507x.20140033

Cited by 13 publications

(11 citation statements)

References 14 publications

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“…A 4-8 -hour delay in the start of treatment has been shown to increase mortality. Therefore, empirical antibiotic treatment is started by the clinician without waiting for laboratory results [6,7]. At the same time, early diagnosis and treatment directed at the agent in ventilator-related infections shortens the length of hospital stay, and reduces mortality rates, the rates of resistant strains and costs.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study

İnanç¹,

İnanç²

2018

Journal of Surgery and Medicine

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How to cite / Atıf için: İnanç Y, İnanç Y. An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: The incidence of nosocomial infections is higher than other sites of the hospitals at intensive care units (ICU) because of high frequency of invasive interventions and multidrug resistant microorganism's prevalence. Ventilator-related pneumonia cases have the highest mortality risk among the nosocomial infections. The aim of this study was to evaluate the endotracheal aspirate cultures and the demographic characteristics of patients followed up on mechanical ventilation in Neurology Intensive Care. Methods: Our study was designed as a retrospective, cross-sectional and descriptive. Retrospective evaluation was made of 51 patients who were attached to a mechanical ventilator in the last 6 months and from whom a tracheal aspirate culture was taken.The endotracheal aspirate samples were taken under sterile conditions using a specifically designed catheter with the method of administering saline into the intubation tube and then aspiration. Blood culture results sent for analysis at the same time as the tracheal aspirate samples were also retrospectively evaluated in patients determined with positive production. A record was made of the demographic characteristics of the patients, diagnosis on admittance to ICU, risk factors, and microbial production in the tracheal aspirate culture. Results: In the first culture, there was no production in 22 (43.1%) cases, and Acinetobacter baumanii was determined in 14 (27.5%) patients, Pseudomonas aeruginosa in 3 (5.9%), Klebsiella pneumonia in 3 (5.9%), Staphylococcus aureus in 2 (3.9%), Corynebacterium striatum in 2 (3.9%), Acinetobacter baumanii + Pseudomonas aeruginosa in 2 (3.9%), Acinetobacter baumanii + Klebsiella pneumonia in 2 (3.9%), and Acinetobacter baumanii + Escherichia coli in 1 (2.0%). The second culture was taken from patients on the mean 11th day. In 3 (10.7%) patients there was no production in the second culture and in the other patients, Acinetobacter baumanii was determined in 15 (53.6%) patients, Pseudomonas aeruginosa in 3 (10.7%), Klebsiella pneumonia in 2 (7.1%), Escherichia coli in 1 (3.6%), Corynebacterium striatum in 1 (3.6%), and Acinetobacter baumanii + Pseudomonas aeruginosa in 3 (10.7%). Conclusion: The culture results in this study of patients admitted for neurological reasons were observed to be consistent with findings in literature. The high mortality rate of 64.7% in these ICU patients is due to the majority being ischemic stroke patients. This sugge...

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Section: Discussionmentioning

confidence: 99%

An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study

İnanç¹,

İnanç²

2018

Journal of Surgery and Medicine

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“…In addition, the diagnosis of ventilator-associated pneumonia is complicated by the possibility of ventilator-associated tracheobronchitis, which has virtually identical findings except for the absence of pulmonary infiltrates. 10 Our results indicate that changes in WBC and/or temperature do not predict VAE or pneumonia.…”

Section: Discussionmentioning

confidence: 56%

The Frequency of White Blood Cell and Temperature Events During Mechanical Ventilation and Their Association With Ventilator-Associated Events

Edriss

Whiting

Nugent

2015

J Intensive Care Med

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“…Its prevalence varies from 1.4 % to 9 % (Nseir and Martin-Loeches, 2014). It is an important cause of increased morbidity and mortality in hospitals.…”

Section: Resultsmentioning

confidence: 99%

“…Ventilator associated tracheobronchitis (VAT) and Ventilator associated pneumonia (VAP) occur 48 hours after the onset of mechanical ventilation. The prevalence varies from 1.4-19% (Nseir and Martin-Loeches, 2014). Ventilator associated tracheobronchitis (VAT) is considered to be an intermediate between colonisation and ventilator associated pneumonia (Martin-Loeches and Pobo, 2010).…”

Section: Introductionmentioning

confidence: 99%

A Study of Incidence and Microbiological Profile of Ventilator Associated Tracheobronchitis (VAT) in a Tertiary Care Hospital

Devi¹,

Gomathi²

2018

Int.J.Curr.Microbiol.App.Sci

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Ventilator-associated tracheobronchitis: where are we now?

Cited by 13 publications

References 14 publications

An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study

An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study

The Frequency of White Blood Cell and Temperature Events During Mechanical Ventilation and Their Association With Ventilator-Associated Events

A Study of Incidence and Microbiological Profile of Ventilator Associated Tracheobronchitis (VAT) in a Tertiary Care Hospital

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