The clinical features of postoperative ventilator-associated pneumonia after lung surgery / 中华外科杂志
Chinese Journal of Surgery
; (12): 1225-1228, 2006.
Article
em Zh
| WPRIM
| ID: wpr-288616
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical features of postoperative ventilator-associated pneumonia (VAP) after lung surgery.</p><p><b>METHODS</b>Of 104 patients who had undergone lung surgery and been treated with ventilator in our surgical intensive care unit between January 2003 and March 2005, 35 patients met with the criteria of both VAP and postoperative pneumonia (POP), and 41 cases had no evidences of pneumonia. The clinical and laboratory data of all 76 cases were recorded and analyzed by a statistical software package (SPSS).</p><p><b>RESULTS</b>The diagnosis of postoperative VAP was established clinically in 35 patients (46.1%), and etiologically in 33 cases. Compared to the patients without postoperative VAP, the patients with postoperative VAP had a significantly longer mean interval between intubation and operation [(2.7 +/- 2.9) days vs. (1.6 +/- 1.7) days, P = 0.039], a longer duration of mechanical ventilation [(32.2 +/- 37.7) days vs. (4.2 +/- 2.9) days, P < 0.001], and higher morbidity (20.0% vs. 2.4%, P = 0.013). There was a significant difference in mean duration of mechanical ventilation between the 15 cases of early-onset VAP and 20 cases of late-onset VAP (17 +/- 15 days vs. 43 +/- 46 days, P = 0.042). Among the initially detected pathogen, Staphylococcus aureus remains the most common Gram-positive coccus whereas Acinetobacter Baumannii took the place of Pseudomonas aeruginosa as the top Gram-negative rod.</p><p><b>CONCLUSION</b>Postoperative VAP after lung surgery has different clinical features from VAP in medical ICU.</p>
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Índice:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
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Respiração Artificial
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Procedimentos Cirúrgicos Pulmonares
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Fatores de Tempo
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Epidemiologia
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Estudos Retrospectivos
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Fatores de Risco
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Diagnóstico
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Pneumonia Associada à Ventilação Mecânica
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2006
Tipo de documento:
Article