RESUMO
The purpose of the investigation was to optimize the diagnosis and treatment of ventilator-associated pneumonia (VAP) in children. The prevalence, etiology, and onset of VAP in a pediatric intensive care unit, and the diagnostic value the clinical pulmonary infection score scale were studied. The prevalence of VAP was found to be 37.56 per 1,000 mechanical ventilation days, and the CPIS scale was not always useful in diagnosing VAP in children. The most common causative agents of VAP were Enterobacteriaceae spp, and its major pathogen is P. aeruginosa. Early adequate antibacterial therapy prevents and treats VAP, without causing any complications.
Assuntos
Antibacterianos/uso terapêutico , Infecção Hospitalar , Pneumonia Bacteriana , Ventiladores Mecânicos , Adolescente , Antibacterianos/administração & dosagem , Estudos de Casos e Controles , Criança , Pré-Escolar , Infecção Hospitalar/diagnóstico , Infecção Hospitalar/tratamento farmacológico , Infecção Hospitalar/microbiologia , Humanos , Lactente , Pneumonia Bacteriana/diagnóstico , Pneumonia Bacteriana/tratamento farmacológico , Pneumonia Bacteriana/microbiologia , Estudos ProspectivosRESUMO
Quantitative assessment of the severity of clinical status was carried out and prognostic values of PRISM III, PRISM, SOFA, APACHE II scores and scores proposed by A. Castellanos et al. and K. L. Goitein was evaluated in 105 children (2 months-14 years) with sepsis. Clinical status evaluated in score during the first day of intensive care was correlated to the disease outcome. Sensitivity, specificity, expected values of positive and negative results were evaluated for each score and their discrimination capacity was assessed by ROC analysis. Use of quantitative scores (PRISM, PRISM III, SOFA, APACHE II, and A. Castellanos') is permissible for prospective evaluation of the efficiency of intensive care in children with sepsis, PRISM being the most informative.