Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Pneumonia in the intensive care unit setting.

K Gleeson1, H Y Reynolds

  • 1Department of Medicine, The Pennsylvania State University, The Milton S. Hershey Medical Center 17033.

Journal of Intensive Care Medicine
|December 10, 1991
PubMed
Summary

Nosocomial pneumonia in the ICU often stems from bacterial colonization and aspiration. Early diagnosis and prevention of organism spread are crucial for improving patient outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Personal factors associated with the attitudes of nurses towards patients with obesity: a literature review.

Clinical obesity·2018
Same author

All bereaved parents are entitled to good care after stillbirth: a mixed-methods multicentre study (INSIGHT).

BJOG : an international journal of obstetrics and gynaecology·2017
Same author

Review and perspective of the 12th Bronchoalveolar Lavage Conference within the second joint WASOG-BAL International Conference.

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG·2011
Same author

Mixed methods in health psychology: theoretical and practical considerations of the third paradigm.

Journal of health psychology·2010
Same author

'You're whatever the patient needs at the time': the impact on health and social care professionals of supporting people with epidermolysis bullosa.

Chronic illness·2010
Same author

Bronchoalveolar lavage--obtaining biologic specimens from the respiratory tract surface.

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG·2008

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Microbiology

Background:

  • Nosocomial pneumonia is a frequent and severe complication in intensive care units (ICUs).
  • It typically arises from aspiration of oropharyngeal secretions colonized by gram-negative bacilli.
  • Risk factors include acute/chronic illness, intubation, H2 blockers, antibiotics, anesthesia, and airway instrumentation.

Purpose of the Study:

  • To highlight the diagnostic challenges of ICU-acquired pneumonia.
  • To evaluate diagnostic techniques for identifying causative pathogens.
  • To emphasize the need for preventative strategies.

Main Methods:

  • Review of factors contributing to nosocomial pneumonia.
  • Discussion of diagnostic limitations with routine cultures.
  • Evaluation of specialized techniques like protected sampling brush cultures.

Main Results:

  • Distinguishing infection from colonization is difficult using standard methods.
  • Quantitative culture with a protected sampling brush shows promise for specific diagnosis.
  • Empirical broad-spectrum antibiotic treatment is often required.

Conclusions:

  • Preventing organism dissemination and oropharyngeal colonization is paramount.
  • Improved diagnostic methods are needed for targeted treatment.
  • Despite treatment, outcomes remain poor, underscoring prevention's importance.

Related Experiment Videos