Back
 AiM  Vol.4 No.9 , July 2014
Monitoring of Respiratory Infections in the Intensive Area of Respiratory System Disease
Abstract: Respiratory infections are the most frequent nosocomial infections after those urinaries and surgicals. We analysed respiratory infection incidences in patients treated with different kinds of respiratory assistance (non-invasive ventilation and invasive mechanical ventilation trough tracheostomy), studying 640 patients recovering in the intensive area of respiratory disease from 2010 to 2013. We had 113 cases of respiratory infections: 42.5% in patients of non-invasive ventilation group and 57.5% of patients treated with invasive ventilation with a statistically significant difference between the two groups. The patients treated with non-invasive ventilation showed a lower incidence of nosocomial respiratory infections. Prevention guidelines are important to reduce nosocomial infections frequency.
Cite this paper: Ricciardiello, F. , Cardone, M. , Fiorentino, G. , Mesolella, M. , Oliva, F. , Pianese, A. and Leone, C. (2014) Monitoring of Respiratory Infections in the Intensive Area of Respiratory System Disease. Advances in Microbiology, 4, 560-566. doi: 10.4236/aim.2014.49062.
References

[1]   ATS/IDSA (2005) Guidelines for the Management of Adults with Hospital-Acquired, Ventilator-Associated and Healthcare-Associated Pneumonia. AJRCCM, 171, 388-416.

[2]   Rello, J., Jubert, P., Vallés, J., Artigas, A., Rue, M. and Niederman, M.S. (1996) Evaluation of Outcome for Intubated Patients with Pneumonia Due to Pseudomonas aeruginosa. Clinical Infectious Diseases, 23, 973-978. http://dx.doi.org/10.1093/clinids/23.5.973

[3]   Rello, J., Rue, M., Jubert, P., Muses, G., Sonora, R., Valles, J. and Niederman, M.S. (1197) Survival in Patients with Nosocomial Pnuemonia: Impact of the Severity of Illness and the Etiologic Agent. Critical Care Medicine, 25, 1862-1867. http://dx.doi.org/10.1097/00003246-199711000-00026

[4]   Rello, J., Ollendorf, D.A., Oster, G., Vera-Llonch, M., Bellm, L., Redman, R. and Kollef, M.H. (2002) Epidemiology and Outcomes of Ventilator-Associated Pneumonia in A large US Database. Chest, 122, 2115-2121. http://dx.doi.org/10.1378/chest.122.6.2115

[5]   Yates, R.R. (1999) New Intervention Strategies for Reducing Antibiotic Resistance. Chest, 115, 24S-27S. http://dx.doi.org/10.1378/chest.115.suppl_1.24S

[6]   Georges, H., et al. (2000) Predisposing Factors for Nosocomial Pneumonia in Patients Receiving Mechanical Ventilation and Requiring Tracheotomy. Chest, 118, 767-774.
http://dx.doi.org/10.1378/chest.118.3.767

[7]   Crivaro, V., Pagano, L., Rispo, A., Sagliocco, G. and Utili, R. (2007) Gestione del Paziente Colonizzato o con Infezione da Germi Sentinella. AORN V, Monaldi.

[8]   Girou, E., Brun-Buisson, C., Taille, S., Lemaire, F. and Brochard, L. (2003) Secular Trends in Nosocomial Infections and Mortality Associated with Noninvasive Ventilation in Patients with Exacerbation of COPD and Pulmonary Edema. JAMA, 290, 2985-2991.
http://dx.doi.org/10.1001/jama.290.22.2985

[9]   Ferrer, M., Ioanas, M., Arancibia, F., Marco, M.A., De la Bellacasa, J.P. and Torres, A. (2005) Microbial Airway Colonization Is Associated with Noninvasive Ventilation Failure in Exacerbation of Chronic Obstructive Pulmonary Disease. Critical Care Medicine, 33, 2003-209.
http://dx.doi.org/10.1097/01.CCM.0000178185.50422.DB

[10]   Chastre, J. and Fagon, J.Y. (2002) Ventilator-Associated Pneumonia. American Journal of Respiratory and Critical Care Medicine, 165, 867-903. http://dx.doi.org/10.1164/ajrccm.165.7.2105078

[11]   Craven, D.E. and Steger, K.A. (1995) Epidemiology of Nosocomial Pneumonia. Chest, 108, 1S-16S. http://dx.doi.org/10.1378/chest.108.2_Supplement.1S

[12]   Torres, A., Aznar, R., Gatell, J.M., Jiménez, P., González, J., Ferrer, A., Celis, R. and Rodriguez-Roisin, R. (1990) Incidence, Risk, and Prognosis Factors of Nosocomial Pneumonia in Mechanically Ventilated Patients. American Review of Respiratory Disease, 142, 523-528.
http://dx.doi.org/10.1164/ajrccm/142.3.523

[13]   Kollef, M.H. (1999) The Prevention of Ventilator-Associated Pneumonia. NEJM, 340, 627-634. http://dx.doi.org/10.1056/NEJM199902253400807

[14]   Delclaux, C., Roupie, E., Blot, F., Brochard, L., Lemaire, F. and Brun-Buisson, C. (1997) Lower Respiratory Tract Colonization and Infection during Severe Acute Respiratory Distress Syndrome: Incidence and Diagnosis. American Journal of Respiratory and Critical Care Medicine, 156, 1092-1098. http://dx.doi.org/10.1164/ajrccm.156.4.9701065

[15]   Garnacho Montero, J., Garcia-Garmendia, J.L., Barrero-Almodovar, A., Jimenez-Jimenez, F.J., Perez-PAredes, C. and Ortiz-Leyba, C. (2003) Impact of Adeguate Empirical Antibiotic Therapy on the Outcome of Patients Admitted to the Intensive Care Unit with Sepsis. Critical Care Medicine, 31, 2742-2751. http://dx.doi.org/10.1097/01.CCM.0000098031.24329.10

[16]   Iregui, M., Ward, S., Sherman, G., Fraser, V.J. and Kollef, M.H. (2002) Clinical Importance of Delays in the Initiation of Appropriate Antibiotic Treatment for Ventilator-Associated Pneumonia. Chest, 122, 262-268. http://dx.doi.org/10.1378/chest.122.1.262

[17]   Luna, C.M., Blanzaco, D., Niederman, M.S., Matarucco, W., Baredes, N.C., Desmery, P., Palizas, F., Menga, G., Rios, F. and Apezteguia, C. (2003) Resolution of Ventilator-Associated Pneumonia: Prospective Evaluation of the Clinical Pulmonary Infection Score as an Early Clinical Predictor of Outcome. Critical Care Medicine, 31, 676-682.
http://dx.doi.org/10.1097/01.CCM.0000055380.86458.1E

 
 
Top