Factors associated with nosocomial pneumonia in hospitalized individuals

Oliveira, Thaís Feitosa Leitão de; Filho, Isaac Suzart Gomes; Passos, Johelle de Santana; Cruz, Simone Seixas da; Oliveira, Michelle Teixeira; Trindade, Soraya Castro; Machado, Adelmir de Souza; Coelho, Julita Maria Freitas; Santos, Carla Maria Lima; Cerqueira, Eneida de Moraes Marcílio

doi:10.1016/s2255-4823(11)70126-6

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…Although studies of OI and pneumonia remain scarce, in different OI settings both DM and COPD have been identified as significant risk factors for nosocomial pulmonary infections, and patients with DM have been shown to have different and rarer bacterial strains and a significantly higher drug resistance rate than patients without DM [28][29][30][31]. In large cohorts, the pneumonia risk in DM patients seems obvious; López-de-Andrés et al [32] reported a 21% higher incidence of postoperative pneumonia in DM patients than in non-diabetic patients in a cohort of over 100,000 patients, although contradictory results have also been reported [33,34]. Associations between chronic pulmonary disease or DM and pneumonia were not verified in our study; however, the number of patients with a history of these diseases was too low for reliable statistical evaluation.…”

Section: Discussionmentioning

confidence: 99%

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

et al. 2020

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Objectives To evaluate occurrence and risk factors for pneumonia in patients with deep odontogenic infection (OI). Materials and methods All patients treated for deep OIs and requiring intensive care and mechanical ventilation were included. The outcome variable was diagnosis of nosocomial pneumonia. Primary predictor variables were re-intubation and duration of mechanical ventilation. The secondary predictor variable was length of hospital stay (LOHS). The explanatory variables were gender, age, current smoking, current heavy alcohol and/or drug use, diabetes, and chronic pulmonary disease. Results Ninety-two patients were included in the analyses. Pneumonia was detected in 14 patients (15%). It was diagnosed on postoperative day 2 to 6 (median 3 days, mean 3 days) after primary infection care. Duration of mechanical ventilation (p = 0.028) and LOHS (p = 0.002) correlated significantly with occurrence of pneumonia. In addition, re-intubation (p = 0.004) was found to be significantly associated with pneumonia; however, pneumonia was detected in 75% of these patients prior to re-intubation. Two patients (2%) died during intensive care unit stay, and both had diagnosed nosocomial pneumonia. Smoking correlated significantly with pneumonia (p = 0.011). Conclusion Secondary pneumonia due to deep OI is associated with prolonged hospital care and can predict the risk of death. Duration of mechanical ventilation should be reduced with prompt and adequate OI treatment, whenever possible. Smokers with deep OI have a significantly higher risk than non-smokers of developing pneumonia. Clinical relevance Nosocomial pneumonia is a considerable problem in OI patients with lengthy mechanical ventilation. Prompt and comprehensive OI care is required to reduce these risk factors.

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Section: Discussionmentioning

confidence: 99%

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

et al. 2020

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Periodontite E Baixo Peso Ao Nascer-Um Estudo Piloto No Município De Montes Claros/Mg, Brasil

Trindade

Santos

Gomes‐Filho

et al. 2017

Rev. Saúde Col. UEFS

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Introdução: O baixo peso ao nascer é o principal determinante de mortalidade infantil e pode estar associado a afecções como a doença periodontal. Neste sentido, considerando a relevância desse problema, aliado ao fato de que ainda existe bastante controvérsia em torno desta temática, o presente estudo piloto pretende avaliar se há associação entre doença periodontal e prematuridade/baixo peso ao nascer em puérperas do município de Montes Claros-MG. Método: Foi realizado um estudo caso-controle em 66 mães de nascidos vivos no Hospital Universitário Clemente Faria, na cidade de Montes Claros em Minas Gerais, Brasil. Destas, 22 mães de recém-nascidos com peso inferior a 2500g formaram o Grupo Caso e 44 mães de recém-nascidos com peso maior ou igual a 2500g compuseram o Grupo Controle. As puérperas foram convidadas a responder a anamnese por meio de um questionário semiestruturado, sendo registrados os dados sóciodemográficos, histórico gestacional, além de aspectos relacionados à saúde geral e bucal. Após a entrevista, foi realizado um exame periodontal completo. Resultados: Não houve diferença significante na frequência de periodontite entre as mães do grupo caso e controle (4,55% vs 18,19%; OR: 0,214; p=0,253). Conclusão: Não foi possível demonstrar associação entre a periodontite e o baixo peso ao nascer.

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Atrial Fibrillation Is an Independent Risk Factor for Hospital-Acquired Pneumonia

et al. 2015

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BackgroundPatients who were hospitalized for community-based pneumonia frequently had pre-existing atrial fibrillation (AF) and had subsequent cardiovascular complications. Whether patients who had AF would be susceptible to the development of hospital-acquired pneumonia (HAP) is a serious concern but this has not been investigated. In our clinics, we have made empirical observation of such susceptibility.ObjectivesTo investigate the association between newly developed HAP and pre-existing AF, and to identify whether AF is an independent risk factor for HAP.MethodsHospital data from 8657 sequentially admitted inpatients [1059 patients with AF and 7598 without AF (NAF)] were collected from the Department of Cardiology, First Affiliated Hospital of Shantou University Medical College, Shantou, China, from January 1, 2009 to December 31, 2011. Exclusion criteria were: having previous or current pneumonia, pacemakers, sick sinus syndrome and repeated hospitalization. The incidence of HAP (within 48 hours after hospitalization) was identified among all the patients.ResultsAmong the AF patients, 274 had HAP (adjusted rate 25.64%) which was significantly higher than the 276 NAF patients who had HAP (adjusted rate 3.66%; P<0.001). The increased risk was also associated with high blood pressure, heart failure and age, but not with gender, smoking, coronary heart disease, diabetes, congenital heart disease. In addition, our multiple regression analysis indicates that AF is an independent risk factor for HAP.ConclusionWe have identified, for the first time, that AF is an important risk factor for HAP. Although additional clinical confirmation is needed, our data provide valuable evidence for use in prevention of HAP which is the most common cause of death from nosocomial infection.

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Factors associated with nosocomial pneumonia in hospitalized individuals

Cited by 4 publications

References 20 publications

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

Deep odontogenic infections—identifying risk factors for nosocomial pneumonia

Periodontite E Baixo Peso Ao Nascer-Um Estudo Piloto No Município De Montes Claros/Mg, Brasil

Atrial Fibrillation Is an Independent Risk Factor for Hospital-Acquired Pneumonia

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