Stručni rad

Ventilator-associated pneumonia in patients requiring percutaneous tracheotomy

Mladen Širanović ; KB "Sestre milosrdnice", Zavod za anesteziologiju, reanimatologiju i intenzivno liječenje
Tihana Magdić Turković ; KB "Sestre milosrdnice", Zavod za anesteziologiju, reanimatologiju i intenzivno liječenje
Helena Krolo ; KB "Sestre milosrdnice", Zavod za anesteziologiju, reanimatologiju i intenzivno liječenje
Josip Kovač ; KB "Sestre milosrdnice", Zavod za anesteziologiju, reanimatologiju i intenzivno liječenje

Sažetak

Ventilator-associated pneumonia (VAP) is one of the most common infections in the Intensive Care Units (ICUs). There are a lot of data about the incidence and etiology of VAP in patients who are receiving invasive mechanical ventilation through the endotracheal tube, but there is little data about VAP among percutanoues tracheotomised patients. Recent studies reported a high incidence (18–25 %) of VAP after tracheotomy. The aim of this 8-year retrospective study was to determine the incidence and etiology of VAP among percutanoues tracheotomised patients. In our study we enrolled 98 percutanoues tracheotomised patients. The diagnosis of VAP was defined by Clinical Pulmonary Infection Score (CPIS). The incidence of VAP among percutanoues tracheotomised patients in our study was 15,4 %. The most common gram-negative causative pathogens of VAP after performing percutaneous tracheotomy according to our results were Pseudomonas aeruginosa (14,7 %) and Acinetobacter spp. (14,7 %), and the most common gram-positive causative pathogens of VAP were MRSA (9,7 %) and Staphylococcus aureus (9,7 %).

Ključne riječi

percutaneous tracheotomy; pneumonia; ventilator-associated pneumonia

Hrčak ID:

66640

URI

https://hrcak.srce.hr/66640

Datum izdavanja:

30.12.2010.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.161 *