Host response to intratracheally instilled bacteria in ventilated and nonventilated rats

Angela M Brackenbury1, Lynda A McCaig, Li-Juan Yao

  • 1Department of Medicine, St. Joseph's Health Care Centre, London, Ontario, Canada.

Critical Care Medicine
|December 16, 2004
PubMed
Abstract

Insights

Mechanical ventilation with Pseudomonas aeruginosa significantly impaired lung function and oxygenation in rats. However, noninjurious ventilation did not increase the inflammatory response to bacterial challenge compared to spontaneous breathing.

Area of Science:

  • Pulmonary Medicine
  • Critical Care Medicine
  • Infectious Diseases

Background:

  • Hospital-acquired pneumonia affects ~7% of inpatients.
  • Critically ill patients, especially those on mechanical ventilation, are susceptible to Pseudomonas aeruginosa infections.
  • Previous studies used injurious ventilation; this study uses noninjurious ventilation.

Purpose of the Study:

  • To investigate the host response to Pseudomonas aeruginosa with noninjurious mechanical ventilation.
  • To compare this response to spontaneously breathing animals given the bacteria.

Main Methods:

  • Adult male Sprague-Dawley rats were used in a randomized, controlled in vivo animal study.
  • Rats were divided into four groups: spontaneous breathing (saline/bacteria) and mechanical ventilation (saline/bacteria).
  • A low-stretch ventilation strategy (8 mL/kg tidal volume, 5 cm H2O PEEP) was employed.

Main Results:

  • Mechanical ventilation combined with Pseudomonas aeruginosa significantly reduced arterial oxygenation and lung compliance.
  • Neither ventilation nor bacteria alone altered lung function.
  • Increased lavage cell counts, cytokines, and surfactant were seen in bacteria-exposed groups, but without significant differences between ventilation and spontaneous breathing groups for these measures.

Conclusions:

  • Low-stretch mechanical ventilation combined with Pseudomonas aeruginosa instillation significantly impacted lung function.
  • Noninjurious ventilation did not alter the inflammatory response to bacterial challenge over 4 hours compared to spontaneous breathing.

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