Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit

Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which...
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Autor*in:	Abel Arroyo- Sanchez [verfasserIn] Juan Leiva-Goicochea [verfasserIn] Rosa Aguirre-Mejia [verfasserIn]

Format:	E-Artikel
Sprache:	Spanisch

Erschienen:	2016

Schlagwörter:	Hospital-acquired pneumonia. Ventilator-associated pneumonia Healthcare-associated pneumonia

Übergeordnetes Werk:	In: Horizonte Médico - Universidad de San Martín de Porres, 2013, (2016), 1, Seite 6-13
Übergeordnetes Werk:	year:2016 ; number:1 ; pages:6-13

Links:	Link aufrufen Link aufrufen Journal toc Journal toc

Katalog-ID:	DOAJ005919142

Internformat


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520			\|a Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified.
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spelling	(DE-627)DOAJ005919142 (DE-599)DOAJ5e3ca0d9c9794d5e9ac0bc9c95b116cf DE-627 ger DE-627 rakwb spa Abel Arroyo- Sanchez verfasserin aut Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified. Hospital-acquired pneumonia. Ventilator-associated pneumonia Healthcare-associated pneumonia Medicine R Juan Leiva-Goicochea verfasserin aut Rosa Aguirre-Mejia verfasserin aut In Horizonte Médico Universidad de San Martín de Porres, 2013 (2016), 1, Seite 6-13 (DE-627)1040620973 22273530 nnns year:2016 number:1 pages:6-13 https://doaj.org/article/5e3ca0d9c9794d5e9ac0bc9c95b116cf kostenfrei http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/390/309 kostenfrei https://doaj.org/toc/1727-558X Journal toc kostenfrei https://doaj.org/toc/2227-3530 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2016 1 6-13
allfields_unstemmed	(DE-627)DOAJ005919142 (DE-599)DOAJ5e3ca0d9c9794d5e9ac0bc9c95b116cf DE-627 ger DE-627 rakwb spa Abel Arroyo- Sanchez verfasserin aut Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified. Hospital-acquired pneumonia. Ventilator-associated pneumonia Healthcare-associated pneumonia Medicine R Juan Leiva-Goicochea verfasserin aut Rosa Aguirre-Mejia verfasserin aut In Horizonte Médico Universidad de San Martín de Porres, 2013 (2016), 1, Seite 6-13 (DE-627)1040620973 22273530 nnns year:2016 number:1 pages:6-13 https://doaj.org/article/5e3ca0d9c9794d5e9ac0bc9c95b116cf kostenfrei http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/390/309 kostenfrei https://doaj.org/toc/1727-558X Journal toc kostenfrei https://doaj.org/toc/2227-3530 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2016 1 6-13
allfieldsGer	(DE-627)DOAJ005919142 (DE-599)DOAJ5e3ca0d9c9794d5e9ac0bc9c95b116cf DE-627 ger DE-627 rakwb spa Abel Arroyo- Sanchez verfasserin aut Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified. Hospital-acquired pneumonia. Ventilator-associated pneumonia Healthcare-associated pneumonia Medicine R Juan Leiva-Goicochea verfasserin aut Rosa Aguirre-Mejia verfasserin aut In Horizonte Médico Universidad de San Martín de Porres, 2013 (2016), 1, Seite 6-13 (DE-627)1040620973 22273530 nnns year:2016 number:1 pages:6-13 https://doaj.org/article/5e3ca0d9c9794d5e9ac0bc9c95b116cf kostenfrei http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/390/309 kostenfrei https://doaj.org/toc/1727-558X Journal toc kostenfrei https://doaj.org/toc/2227-3530 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2016 1 6-13
allfieldsSound	(DE-627)DOAJ005919142 (DE-599)DOAJ5e3ca0d9c9794d5e9ac0bc9c95b116cf DE-627 ger DE-627 rakwb spa Abel Arroyo- Sanchez verfasserin aut Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified. Hospital-acquired pneumonia. Ventilator-associated pneumonia Healthcare-associated pneumonia Medicine R Juan Leiva-Goicochea verfasserin aut Rosa Aguirre-Mejia verfasserin aut In Horizonte Médico Universidad de San Martín de Porres, 2013 (2016), 1, Seite 6-13 (DE-627)1040620973 22273530 nnns year:2016 number:1 pages:6-13 https://doaj.org/article/5e3ca0d9c9794d5e9ac0bc9c95b116cf kostenfrei http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/390/309 kostenfrei https://doaj.org/toc/1727-558X Journal toc kostenfrei https://doaj.org/toc/2227-3530 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2016 1 6-13
language	Spanish
source	In Horizonte Médico (2016), 1, Seite 6-13 year:2016 number:1 pages:6-13
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topic_facet	Hospital-acquired pneumonia. Ventilator-associated pneumonia Healthcare-associated pneumonia Medicine R
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author	Abel Arroyo- Sanchez
spellingShingle	Abel Arroyo- Sanchez misc Hospital-acquired pneumonia. misc Ventilator-associated pneumonia misc Healthcare-associated pneumonia misc Medicine misc R Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit
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topic_title	Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit Hospital-acquired pneumonia Ventilator-associated pneumonia Healthcare-associated pneumonia
topic	misc Hospital-acquired pneumonia. misc Ventilator-associated pneumonia misc Healthcare-associated pneumonia misc Medicine misc R
topic_unstemmed	misc Hospital-acquired pneumonia. misc Ventilator-associated pneumonia misc Healthcare-associated pneumonia misc Medicine misc R
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title	Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit
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title_full	Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit
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author_browse	Abel Arroyo- Sanchez Juan Leiva-Goicochea Rosa Aguirre-Mejia
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author-letter	Abel Arroyo- Sanchez
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title_sort	clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit
title_auth	Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit
abstract	Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified.
abstractGer	Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified.
abstract_unstemmed	Objective: To describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with SNP. Material and Methods: Descriptive study of a serie of cases of the Intensive Care Unit (ICU) of a General Hospital. Medical records of patients which received medical attention and who meet the selection criteria were reviewed Results: Forty-one clinical records were evaluated. The average age was 69 old, predominantly male (68,3%). SNP was the reason of admission in 60.9% and 95.1% required mechanical ventilation. Hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, CPIS of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. The days of stay in ICU were 20.6 days and 20 of the 41 medical records were for death patients. The clinical and epidemiological characteristics were similar between death and alive patients. An analysis of factors that could be associated with mortality SNP was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control CPIS ≥ 6 were associated with higher mortality; while acquisition of the ICU was associated to lower mortality. Conclusions: The clinical, epidemiological characteristics and evolution of patients with SNP in our ICU were similar to those describe in the literature. Three factors associated with mortality in the ICU were identified.
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title_short	Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit
url	https://doaj.org/article/5e3ca0d9c9794d5e9ac0bc9c95b116cf http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/390/309 https://doaj.org/toc/1727-558X https://doaj.org/toc/2227-3530
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Clinical, epidemiological and evolution of severe nosocomial pneumonia in intensive care unit

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