Incidence, etiology and outcome of ventilator-associated pneumonia in patients with percutaneous tracheotomy.
INCIDENCE, ETIOLOGY AND OUTCOME OF VENTILATOR-ASSOCIATED PNEUMONIA
IN PATIENTS WITH PERCUTANEOUS TRACHEOTOMY.
Acta Clin Croat. 2017 03;56(1):99-109
Authors: Turković TM, Obraz M, Glogoški MZ, Juranić I, Bodulica B, Kovačić J
Abstract
Although the incidence of ventilator-associated pneumonia (VAP) is very high,
there are still many uncertainties about clinical course of VAP among tracheotomized patients. The
goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology,
as well as outcome of VAP patients with tracheotomy. The study was conducted in a 15-bed Surgical
and Neurosurgical Intensive Care Unit (ICU), Sestre milosrdnice University Hospital Center in
Zagreb, Croatia. The study included all patients undergoing only percutaneous tracheotomy during
the study period. According to our data, the incidence of VAP among percutaneous tracheotomized
patients was 42%, not considering the time between tracheotomy and VAP onset. However, when only
patients developing VAP after tracheotomy were taken into account, the incidence of VAP among
tracheotomized patients dropped to 8% only. The most commonly isolated bacterium was Staphylococcus
aureus, accounting for 17 (37%) isolates, followed by Haemophilus influenzae, accounting for
another 10 (22%) isolates. The development of VAP among percutaneously tracheotomized patients
was associated with longer total ICU stay (regardless of whether VAP develope...
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
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