20466456

Source:http://linkedlifedata.com/resource/pubmed/id/20466456

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Predicate	Object
rdf:type	pubmed:Citation
lifeskim:mentions	umls-concept:C0032285, umls-concept:C0199470, umls-concept:C0332281
pubmed:issue	5
pubmed:dateCreated	2010-8-4
pubmed:abstractText	The second most important infectious complication in hospitalized patients is pneumonia, this occupying the first place in the Intensive Care Units (ICU). Approximately 80% of the episodes of nosocomial pneumonia occur in patients with an artificial airway, which is called ventilation-associated pneumonia (VAP). VAP is the most frequent cause of mortality among nosocomial infections in the ICU, mainly if they are caused by Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus (MRSA). It also increases days of mechanical ventilation and length of stay in the ICU and hospital. In spite of the available diagnostic procedures, the diagnosis of VAP continues to be a clinical one. The presence of X-ray infiltrates and purulent endotracheal secretions are the essential conditions for the diagnosis. We should also evaluate the patient's condition and the risk factors for difficult-to-treat pathogens. If the VAP is early and there are no risk factors, most of the empiric antibiotic strategies will provide correct coverage of the flora found. However, if the diagnosis of VAP is made in a patient who has been receiving mechanical ventilation for more than one week, under antibiotic use, with risk factors for multi-resistant pathogens, we should individualize the empiric antibiotic treatment.
pubmed:language	spa
pubmed:journal	http://linkedlifedata.com/resource/pubmed/journal/9207689
pubmed:citationSubset	IM
pubmed:status	MEDLINE
pubmed:issn	0210-5691
pubmed:author	pubmed-author:DiazEE, pubmed-author:LorenteLL, pubmed-author:RelloJJ, pubmed-author:VallesJJ
pubmed:copyrightInfo	Copyright (c) 2010 Elsevier España, S.L. y SEMICYUC. All rights reserved.
pubmed:issnType	Print
pubmed:volume	34
pubmed:owner	NLM
pubmed:authorsComplete	Y
pubmed:pagination	318-24
pubmed:meshHeading	pubmed-meshheading:20466456-Algorithms, pubmed-meshheading:20466456-Humans, pubmed-meshheading:20466456-Pneumonia, Bacterial, pubmed-meshheading:20466456-Pneumonia, Ventilator-Associated
pubmed:articleTitle	[Mechanical ventilation associated pneumonia].
pubmed:affiliation	Servicio de Medicina Intensiva, Hospital Universitari Joan XXIII Tarragona, Universitat Rovira i Virgili, IISPV, CIBER Enfermedades Respiratorias, CIBERes, Tarragona, Spain. emilio.diaz.santos@gmail.com
pubmed:publicationType	Journal Article, English Abstract