细菌代码检测的患病率和为呼吸道感染而输管的婴儿的结果
Todd Karsies1, Steven L Shein2, Franco Diaz3,4,5
1Department of Pediatrics, Division of Critical Care Medicine, Nationwide Children's Hospital, Columbus, OH.
概括
几乎三分之一的幼儿因下呼吸道感染而被直管,发现了细菌共感染. 这种细菌共感染并没有延长儿科重症监护病房的机械通风持续时间.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病 传染病 传染病
- 呼吸系统药物 呼吸系统药物
背景情况:
- 在婴儿中,急性下呼吸道感染 (LRTI) 是常见的.
- 病毒感染,如支气管炎,是幼儿LRTI的主要原因.
- 细菌共感染可以使病毒性LRTI复杂化,可能影响临床结果.
研究的目的:
- 为了确定在2岁以下的婴儿中与LRTI进行直管的细菌共感染的患病率.
- 调查细菌共感染与侵入性机械通风 (IMV) 持续时间之间的关联.
主要方法:
- 在12个国家的儿科重症监护室 (PICU) 进行的前性观察研究.
- 包括2岁以下需要输管治疗LRTI的儿童,在输管时获得的下呼吸道培养物.
- 细菌共检测被定义为致病性细菌的中度/重度生长加上中度/许多中性粒细胞.
主要成果:
- 在472名分析患者中,有29%的患者发生了细菌共检测 (平均年龄为4.5个月).
- 代码检测在年幼的儿童中更频繁,RSV测试呈阳性,支气管炎诊断.
- 细菌共检测与IMV持续时间较长无关 (aRR 0.854 [95% CI 0.684-1.065]).
结论:
- 细菌共感染在被直管的LRTI儿童中很普遍,但似乎不会延长机械通风.
- 需要进一步的研究来探索细菌共感染和更短的IMV持续时间之间的潜在关联.
相关概念视频
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:15Endotracheal Intubation I: Procedure
1.2K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.2K
01:17Endotracheal Intubation II: Nursing Management
612
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
612
01:30Pneumonia III: Complications and Assessment
206
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
206