Lower respiratory tract infections associated with respiratory therapy and anaesthesia equipment

Hovig, B

doi:10.1016/0195-6701(81)90063-3

Cited by 25 publications

(3 citation statements)

References 87 publications

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“…Lower respiratory tract infection is another main cause of nosocomial infection and usually represents about 10% to 20% of all infections.'' 2 ' 20 The infection rate is variable and is particularly high in intensive care and special care neonatal units. The endotracheal or tracheostomy tube bypasses normal defense mechanisms allowing organisms to enter the lungs.…”

Section: %mentioning

confidence: 99%

Nosocomial Infection—The Irreducible Minimum

Ayliffe

1986

Infect. Control Hosp. Epidemiol.

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Prevalence surveys in different countries have shown that about 1 in 10 hospitalized patients at any one time have acquired an infection and the incidence of infection is usually about 3% to 5%. Can this infection rate be significantly reduced and is there an irreducible minimum below which further reduction cannot be obtained? Cross-infection could probably be almost eliminated by the use of plastic isolators or life islands, and endogenous infections reduced by the wider and more rational prophylactic use of topical and systemic antimicrobial agents, and possibly a range of vaccines. However, the use of these techniques on all patients would clearly be impractical and too expensive for use in the foreseeable future. Excessive isolation techniques would have a detrimental psychological effect on many patients. In addition, failure to eradicate the organisms of the normal flora might be associated with more infections caused by antibiotic-resistant bacteria, fungi and viruses which would be more difficult to treat. Even if organisms could be eradicated, morbidity and mortality might not be correspondingly reduced. Priorities must therefore be set on the most effective use of staff and finances. These not only involve a consideration of infection, but all areas of clinical practice, eg, costs of cardiac transplants and provision of geriatric facilities. It therefore seems likely that little additional finance will be available for control of infection, other than possibly for transmissible infections with high mortality such as AIDS.

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Section: %mentioning

confidence: 99%

Nosocomial Infection—The Irreducible Minimum

Ayliffe

1986

Infect. Control Hosp. Epidemiol.

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“…In the era of insufficient processing of breathing gas conducting parts of the anaesthetic system, particularly of the tracheal tubes and of the anaesthesia breathing system, infections or outbreaks due to contaminated systems were reported sporadically [ 12 ], [ 18 ], [ 19 ], [ 20 ], [ 21 ].…”

Section: Explanation Reportmentioning

confidence: 99%

Infection prevention during anaesthesia ventilation by the use of breathing system filters (BSF): Joint recommendation by German Society of Hospital Hygiene (DGKH) and German Society for Anaesthesiology and Intensive Care (DGAI)

Krämer

Kranabetter²,

Rathgeber³

et al. 2010

GMS Krankenhaushygiene Interdisziplinär; 5(2):Doc13; ISSN 1863-5245

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“…Death can occur as a result of nosocomial pneumonia in up to 50% of patients (Johnson 2002). In the literature, it is recognized that respiratory equipment used in intensive care units (ICU), especially ventilators, can harbour pathogenic micro-organisms and may act as fomites in nosocomial pneumonia transmission (Irwin et al 1980;Hovig 1981). In a study on ventilated patients in an ICU, 95% of the ventilator breathing systems became contaminated after 24 hours (Malecka-Griggs et al 1989).…”

Section: Introductionmentioning

confidence: 99%