疑似肺炎的复发发作的危险因素
Tateum L Mattingly1, Jordan Baker2, Isuru Ratnayake2
1Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
在重症监护室 (ICU) 中的复发性肺炎可能与种族和语言障碍有关. 怀疑复发性肺炎的患者在ICU停留时间较长,但死亡率较低.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 肺炎是最常见的重症监护室 (ICU) 获得的感染,经常复发.
- 诊断肺炎是具有挑战性的,因为非传染性模仿.
研究的目的:
- 在ICU患者中确定与复发性肺炎相关的风险因素.
- 分析"在疑似肺炎中抑制抗生素试验" (TARPP) 的数据.
主要方法:
- 对多中心TARPP试验数据的回顾性分析.
- 对人口统计,并发症和结果的审查.
- 单变量统计分析.
主要成果:
- 25.3%的患者至少经历了一次疑似肺炎的新发作.
- 在西班牙裔/拉丁裔患者和西班牙语说者中,复发性肺炎更为常见.
- 患有复发性肺炎的患者有更长的ICU住院时间,更多的抗生素日和更多的呼吸机日.
- 在复发病例中观察到较高的培养阳性率,总体死亡率较低.
结论:
- 种族和语言障碍可能与ICU中复发的肺炎疑似有关.
- 生存偏差可能解释了复发性肺炎患者的较低死亡率.
- 需要进一步的研究,以了解复发性ICU肺炎的风险.
更多相关视频
12:21A Mouse Model for the Transition of Streptococcus pneumoniae from Colonizer to Pathogen upon Viral Co-Infection Recapitulates Age-Exacerbated Illness
Published on: September 28, 2022
07:43A Non-invasive and Technically Non-intensive Method for Induction and Phenotyping of Experimental Bacterial Pneumonia in Mice
Published on: September 28, 2016
相关概念视频
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia III: Complications and Assessment
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Pneumonia II: Pathophysiology
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Pulmonary Cycle: Exhalation
