Nosokomiale Pneumonien auf einer neurologischen Intensivstation

Heckmann, J. G.; Kraus, Jörg; Niedermeier, Wolfgang; Erbguth, F.; Druschky, A.; Schoerner, C.; Neundörfer, B.

doi:10.1055/s-2007-1024452

Cited by 11 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, specific neurological intensive care has gained in importance (9,10). However, information on the occurrence of nosocomial infections in the neurology ICUs is limited (3,8,(11)(12)(13)(14). The altered sensorium, incompetence of pharynx and larynx, muscle weakness requiring intubation and ventilation of the patients in neurology ICUs are some of the factors that lead to nosocomial infections (15).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Risk Factors for Infections Acquired by Cerebral Hemorrhage and Cerebral Infarct Patients in a Neurology Intensive Care Unit in Turkey

Yilmaz,

Cevik,

Erdinc

et al. 2007

Jpn J Infect Dis

View full text Add to dashboard Cite

Few studies have investigated the risk factors for nosocomial infections developed in neurology intensive care units (ICUs). In this study, the risk factors for ICU-acquired infections in patients with cerebral hemorrhage and cerebral infarct who were treated for more than 24 h at the Ankara Training and Research Hospital were prospectively evaluated over a study period of 14 months. Of 171 patients included in the study, 71 (41.5%) were found to have acquired 163 infections in the ICU unit throughout 1,867 patient days. The rate of infection per 100 patients admitted was 95.3, and per 1,000 patient days, 87.3. The most common nosocomial infections were urinary tract infection (42.9%), pneumonia (27%) and primary bacteremia (19%). Multivariate logistic regression analysis revealed age ≥ 70 (P < 0.05), the presence of a central venous catheter (P = 0.004), and parenteral nutrition (P = 0.02) as ICU-acquired infection risk factors. The presence of infection on admission was identified as a factor decreasing the risk of ICU-acquired infection (P < 0.001). The high infection rates found in this study may be due to lack of full compliance to infection control measures. In conclusion, each type of ICU has its own epidemiological findings for nosocomial infections and thus needs to determine the risk factors using periodical surveillance studies to guide control measures.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Because it determines comatose status, GCS has been in use by neurology ICUs (14,34). Similarly, in the neurology clinic where this study was conducted, the use of scores obtained through GCS is a routine procedure.…”

Section: Discussionmentioning

confidence: 99%

The Risk Factors for Infections Acquired by Cerebral Hemorrhage and Cerebral Infarct Patients in a Neurology Intensive Care Unit in Turkey

Yilmaz,

Cevik,

Erdinc

et al. 2007

Jpn J Infect Dis

View full text Add to dashboard Cite

show abstract

“…There are number of studies regarding incidence, prevalence, risk factors, and the impact of nosocomial/HAI on mortality and outcome in multidisciplinary ICUs; however, owing to the limited facility of separate neurological and or neurosurgical ICUs (NNICUs) in developing countries, only a few studies are available in reference to HAI in the NNICU-setting and still fewer regarding VAP among these patients. [ 6 7 ]…”

Section: Introductionmentioning

confidence: 99%

Ventilators in ICU: A boon or burden

Mehndiratta

Nayak

Ali

et al. 2016

Ann Indian Acad Neurol

View full text Add to dashboard Cite

Background and Aims:Ventilator-associated pneumonia (VAP) is a major challenge in intensive care units (ICUs). This challenge is even more discernible in a neurological setting owing to the predispositions of patients. Data on VAP in the neurology and neurosurgery ICUs (NNICUs) are scanty in developing countries. This study was conducted to find out the occurrence of VAP, its risk factors, microbiological profile, and antibiotic resistance in patients admitted to the NNICU of a tertiary care institute in India.Materials and Methods:Endotracheal aspirate and blood samples were collected from 100 patients admitted to the NNICU. Complete blood count, microscopic examination, culture and sensitivity testing of aspirate were done. Chest x-ray was also performed to aid in the diagnosis of VAP.Results:Incidence rate of VAP was found to be 24%. Acinetobacter baumannii was the most common pathogen (24.3%) isolated from patients with VAP, and all of these isolates were sensitive to meropenem. Duration of mechanical ventilation (P < 0.0001) and associated comorbid illness (P = 0.005) were found to be significantly associated with VAP, and the duration of mechanical ventilation was found to be the only independent risk factor (P < 0.0001).Conclusions:This study highlights the risks and microbiological perspective of ventilator use among neurology patients so that adequate preventive strategies can be adopted on time.

show abstract

“…Unter allen intensivpflichtigen Patienten nehmen solche der neurologischen Intensivstationen eine gesonderte Stellung ein (Zolldann et al 2005). Die Unterscheidung zwischen Patienten mit neurologischen und nicht-neurologischen Diagnosen ist deshalb von Bedeutung, weil neurologische Patienten im Vergleich zu sonstigen Intensivpatienten einen höheren Krankheitsschweregrad, insbesondere im Hinblick auf zentrale oder periphere Ventilationsstörungen, Schluckstörungen, Bewusstseinseintrübungen und damit verbundene längere Phasen der Immobilität aufweisen und somit eine längere stationäre Verweildauer haben (Fagon et al 1996, Heckmann et al 1999. Die zentrale Ventilationsstörung ist durch den "brainstem shock" oder "retikulären Schock", wie ihn Baumgartner 1979 Mortalitätsrisiko an (Addington et al 2005).…”

Section: Introductionunclassified

Der Einfluss der Therapie mit Dornase alfa auf Beatmungsdauer und Entzündungsmediatoren bei beatmeten neurologischen Patienten

Maria¹

View full text Add to dashboard Cite

Nosokomiale Pneumonien auf einer neurologischen Intensivstation

Abstract: These data (incidence, relative risk) can, by taking into consideration various aspects of specialist and hospital hygienic practices, contribute to a continuing optimization of the prevention and treatment of disease.

Cited by 11 publications

References 0 publications

The Risk Factors for Infections Acquired by Cerebral Hemorrhage and Cerebral Infarct Patients in a Neurology Intensive Care Unit in Turkey

The Risk Factors for Infections Acquired by Cerebral Hemorrhage and Cerebral Infarct Patients in a Neurology Intensive Care Unit in Turkey

Ventilators in ICU: A boon or burden

Der Einfluss der Therapie mit Dornase alfa auf Beatmungsdauer und Entzündungsmediatoren bei beatmeten neurologischen Patienten

Contact Info

Product

Resources

About