Routine aspiration of subglottic secretions after major heart surgery: impact on the incidence of ventilator-associated pneumonia.
J Hosp Infect
; 85(4): 312-5, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24099752
ABSTRACT
Aspiration of subglottic secretions (ASS) is recommended in patients requiring mechanical ventilation for ≥48h. We assessed the impact of the introduction of ASS routinely in all patients after major heart surgery in an ecological study comparing ventilator-acquired pneumonia (VAP) incidence, days of mechanical ventilation, and cost of antimicrobial agents before and after the implementation of ASS. Before and after the intervention the results (per 1000 days) were VAP incidence, 23.92 vs 16.46 (P = 0.04); cost of antimicrobials, 71,384 vs 63,446 (P = 0.002); and days of mechanical ventilation, 507.5 vs 377.5 (P = 0.009). From the moment of induction of anaesthesia all patients undergoing major heart surgery should routinely receive ASS.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Pós-Operatórios
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Sucção
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Cirurgia Torácica
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Secreções Corporais
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Pneumonia Associada à Ventilação Mecânica
Tipo de estudo:
Incidence_studies
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Observational_studies
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Prognostic_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Hosp Infect
Ano de publicação:
2013
Tipo de documento:
Article