Nosocomial and ventilator-associated pneumonia in a community hospital intensive care unit: a retrospective review and analysis.

Mehrdad Behnia, Sharon C Logan, Linda Fallen, Philip Catalano

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Nosocomial and ventilator-associated pneumonia (VAP) are causes of significant morbidity and mortality in hospitalized patients. We analyzed a) the incidence and the outcome of pneumonias caused by different pathogens in the intensive care unit (ICU) of a medium-sized twenty-four bed community hospital and b) the incidence of complications of such pneumonias requiring surgical intervention such as thoracotomy and decortication.; Results: We retrospectively reviewed the charts of patients diagnosed with nosocomial and ventilator-associated pneumonia in our ICU. Their bronchoalveolar lavage (BAL) and sputum cultures, antibiograms, and other clinical characteristics, including complications and need for tracheostomy, thoracotomy and decortication were studied. In a span of one year (2011-12), 43 patients were diagnosed with nosocomial pneumonia in our ICU. The median simplified acute physiology score (SAPS II) was 39. One or more gram negative organisms as the causative agent
Original languageEnglish (US)
Pages (from-to)232
Number of pages1
JournalBMC Research Notes
Volume7
StatePublished - 2014

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Ventilator-Associated Pneumonia
Intensive care units
Community Hospital
Intensive Care Units
Pneumonia
Thoracotomy
Hospital beds
Tracheostomy
Incidence
Physiology
Microbial Sensitivity Tests
Bronchoalveolar Lavage
Pathogens
Sputum
Morbidity
Mortality
Simplified Acute Physiology Score

Keywords

  • Cross Infection/*microbiology, Gram-Negative Bacterial Infections/*microbiology, Gram-Positive Bacterial Infections/*microbiology, Pneumonia, Ventilator-Associated/*microbiology, Adult, Aged, Aged, 80 and over, Anti-Bacterial Agents/therapeutic use, Cross Infection/drug therapy, Cross Infection/mortality, Cross Infection/surgery, Drug Resistance, Multiple, Bacterial, Female, Gram-Negative Bacteria/drug effects, Gram-Negative Bacteria/growth & development, Gram-Negative Bacterial Infections/drug therapy, Gram-Negative Bacterial Infections/mortality, Gram-Negative Bacterial Infections/surgery, Gram-Positive Bacteria/drug effects, Gram-Positive Bacteria/growth & development, Gram-Positive Bacterial Infections/drug therapy, Gram-Positive Bacterial Infections/mortality, Gram-Positive Bacterial Infections/surgery, Humans, Male, Middle Aged, Pneumonia, Ventilator-Associated/drug therapy, Pneumonia, Ventilator-Associated/mortality, Pneumonia, Ventilator-Associated/surgery, Retrospective Studi

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Nosocomial and ventilator-associated pneumonia in a community hospital intensive care unit: a retrospective review and analysis. / Behnia, Mehrdad; Logan, Sharon C; Fallen, Linda; Catalano, Philip.

In: BMC Research Notes, Vol. 7, 2014, p. 232.

Research output: Contribution to journalArticle

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AB - Background: Nosocomial and ventilator-associated pneumonia (VAP) are causes of significant morbidity and mortality in hospitalized patients. We analyzed a) the incidence and the outcome of pneumonias caused by different pathogens in the intensive care unit (ICU) of a medium-sized twenty-four bed community hospital and b) the incidence of complications of such pneumonias requiring surgical intervention such as thoracotomy and decortication.; Results: We retrospectively reviewed the charts of patients diagnosed with nosocomial and ventilator-associated pneumonia in our ICU. Their bronchoalveolar lavage (BAL) and sputum cultures, antibiograms, and other clinical characteristics, including complications and need for tracheostomy, thoracotomy and decortication were studied. In a span of one year (2011-12), 43 patients were diagnosed with nosocomial pneumonia in our ICU. The median simplified acute physiology score (SAPS II) was 39. One or more gram negative organisms as the causative agent

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