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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1994-10-20
|
| pubmed:abstractText |
The incidence of infectious maxillary sinusitis (IMS) and its clinical relevance was prospectively studied in 162 consecutive critically ill patients who were mechanically ventilated for a period longer than 7 d. All had a paranasal computed tomographic (CT) scan within 48 h of admission and were divided into three groups according to the radiologic aspect of their maxillary sinuses: Group 1 = normal maxillary sinuses (n = 40), Group 2 = maxillary mucosal thickening (n = 26), Group 3 = radiologic maxillary sinusitis (RMS) defined as the presence of an air fluid level and/or opacification of maxillary sinuses (n = 96). Group 1 patients were randomized between nasal and oral endotracheal intubation with a gastric intubation performed via the same route and had a second paranasal CT scan 7 d later. Endotracheal and gastric tubes were left in their original position in Group 2 patients and a second paranasal CT scan was performed 7 d later. All patients of Group 3 underwent a transnasal puncture for bacteriologic analysis of maxillary sinus content. Forty-five spontaneously breathing patients served as a control group. In all patients with RMS, the occurrence of bronchopneumonia (BPN) was prospectively assessed for 7 d following the initial CT scan. Upon inclusion, only 25% of the patients had normal maxillary sinuses whereas all patients in the control group had normal paranasal CT scans. After 7 d, 46% of Group 2 patients had evidence of RMS. Risk factors for RMS were nasal placement and duration of endotracheal and gastric intubation.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Sep
|
| pubmed:issn |
1073-449X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
150
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
N
|
| pubmed:pagination |
776-83
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8087352-Adult,
pubmed-meshheading:8087352-Bronchopneumonia,
pubmed-meshheading:8087352-Critical Illness,
pubmed-meshheading:8087352-Cross Infection,
pubmed-meshheading:8087352-Female,
pubmed-meshheading:8087352-Humans,
pubmed-meshheading:8087352-Incidence,
pubmed-meshheading:8087352-Intubation, Gastrointestinal,
pubmed-meshheading:8087352-Intubation, Intratracheal,
pubmed-meshheading:8087352-Logistic Models,
pubmed-meshheading:8087352-Male,
pubmed-meshheading:8087352-Maxillary Sinus,
pubmed-meshheading:8087352-Maxillary Sinusitis,
pubmed-meshheading:8087352-Middle Aged,
pubmed-meshheading:8087352-Paris,
pubmed-meshheading:8087352-Prospective Studies,
pubmed-meshheading:8087352-Respiration, Artificial,
pubmed-meshheading:8087352-Risk Factors,
pubmed-meshheading:8087352-Time Factors,
pubmed-meshheading:8087352-Tomography, X-Ray Computed
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Risk factors and clinical relevance of nosocomial maxillary sinusitis in the critically ill.
|
| pubmed:affiliation |
Unité de Réanimation Chirurgicale (Department of Anesthesiology), Hôpital de la Pitié-Salpétrière, Université Paris VI, France.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|