Chaires GR, Palacios CA, Monares ZE, Poblano MM, Aguirre SJ, Franco GJ

Language: Spanish
References: 33
Page: 99-106
PDF size: 126.65 Kb.

ABSTRACT

The ventilator-associated pneumonia causes increased morbidity and mortality in critically ill patients. There are deficiencies in the current definitions and diagnostic criteria, making it difficult to establish a diagnosis. In this paper we analyze these shortcomings and propose possible solutions.

REFERENCES

1. Klompas M, Platt R. Ventilator-associated pneumonia: the wrong quality measure for benchmarking. Ann Intern Med 2007;147:803-805.

2. Lisboa T, Diaz E, Sa-Borges M, et al. The ventilator-associated pneumonia PIRO score: a tool for predicting ICU mortality and health-care resources use in ventilator-associated pneumonia. Chest 2008;134:1208-1216.

3. Timsit JF, Zahar JR, Chevret S. Attributable mortality of ventilator-associated pneumonia. Curr Opin Crit Care 2011;17:464-471.

4. Rello J, Lode H, Cornaglia G, et al. A European care bundle for prevention of ventilator-associated pneumonia. Intensive Care Med 2010;36(5):773-780.

5. Kollef MH. Prevention of ventilator-associated pneumonia or ventilator-associated complications: a worthy, yet challenging, goal. Crit Care Med 2012;40(1):271-277.

6. Niederman MS, Craven DE, Bonten MJ, et al. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005;171(4):388-416.

7. Torres A, Ewig S, Lode H, et al. Defining, treating and preventing hospital acquired pneumonia: European perspective. Intensive Care Med 2009;35(1):9-29.

8. Valencia M, Torres A. Ventilator-associated pneumonia. Curr Opin Crit Care 2009;15(1):30-35.

9. Klompas M. Is a ventilator-associated pneumonia rate of zero really possible? Curr Opin Infect Dis 2012;25(2):176-182.

10. Norma Oficial Mexicana NOM-026-SSA2-1998. Para la vigilancia epidemiológica, prevención y control de las infecciones nosocomiales. Secretaría de Salud. México.

11. Stewart NI, Cuthbertson BH. The problems diagnosing ventilator-associated pneumonia. JICS 2009;10(4):266-272.

12. Klompas M. Does this patient have ventilator-associated pneumonia? JAMA 2007;297:1583-1593.

13. Fabregas N, Ewing S, Torres A, et al. Clinical diagnosis of ventilator-associated pneumonia revisited: comparative validation using immediate post mortem lung biopsies. Thorax 1999;54:867-853.

14. Skrupky LP, McConnell K, Dallas J, et al. A comparison of ventilator-associated pneumonia rates as identified according to the National Healthcare Safety Network and American College of Chest Physicians criteria. Crit Care Med 2012;40:281-284.

15. Tejerina E, Esteban A, Fernandez-Segoviano P, et al. Accuracy of clinical definitions of ventilator-associated pneumonia: comparison with autopsy findings. J Crit Care 2010;25:62-68.

16. Souweine B, Veber B, Bedos JP, et al. Diagnostic accuracy of protected specimen brush and bronchoalveolar lavage in nosocomial pneumonia: impact of previous antimicrobial treatments. Crit Care Med 1998;26:236-244.

17. Torres A, Ewig S. Diagnosing ventilator-associated pneumonia. N Engl J Med 2004;350:433-435.

18. The Canadian Critical Care Trials Group. A randomized trial of diagnostic techniques for ventilator-associated pneumonia. New Engl J Med 2006;355:2619-2629.

19. Rea-Neto A, Youssef NC, Tuche F et al. Diagnosis of ventilator-associated pneumonia: a systematic review of the literature. Crit Care 2008;12:R56.

20. Niederman MS. The argument against using quantitative cultures in clinical trials and for the management of ventilator-associated pneumonia. Clin Infect Dis 2010;51(Suppl 1):S93-S99.

21. Kieninger AN, Lipsett PA. Hospital-acquired pneumonia: pathophysiology, diagnosis, and treatment. Surg Clin N Am 2009;89:439-461.

22. Luyt CE, Chastre J, Fagon JY, et al. Value of the clinical pulmonary infection score for the identification and management of ventilator-associated pneumonia. Intensive Care Med 2004;30:844-52.

23. Fagon J. Hospital acquired pneumonia: diagnostic strategies: lessons from clinical trials. Infect Dis Clin North Am 2003;17:717-26.

24. Singh N, Rogers P, Atwood C, et al. Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the Intensive-Care Unit: a proposed solution for indiscriminate antibiotic use. Am J Respir Crit Care Med 2000;162:505-511.

25. Chastre J, Fagon JY. Ventilator-associated pneumonia. Am J Respir Crit Care Med 2002;165:867-903.

26. Winer-Muram HT, Steiner RM, Gurney JW, et al. Ventilator-associated pneumonia in patients with adult respiratory distress syndrome: CT evaluation. Radiology 1998;208(1):193-199.

27. Craven DE, Chroneou A, Zias N, et al. Ventilator-associated tracheobronchitis. the impact of targeted antibiotic therapy on patient outcomes. Chest 2009;135:521-528.

28. Craven DE, Hudcova J, Lei Y. Diagnosis of ventilator-associated respiratory infections (VARI): microbiologic clues for tracheobronchitis (VAT) and pneumonia (VAP). Clin Chest Med 2011;32:547-557.

29. Bouhemad B, Liu Z-H, Arbelot C, et al. Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med 2010;38:84-92.

30. Chastre J, Luyt CE, Trouillet JL, et al. New diagnostic and prognostic markers of ventilator-associated pneumonia. Curr Opin Crit Care 2006;12:446-451.

31. Palazzo SJ, Simpson T, Schnapp L. Biomarkers for ventilator-associated pneumonia: review of the literature. Heart Lung 2011;40(4):293-298.

32. Ramírez P, García MA, Ferrer M, et al. Sequential measurements of procalcitonin levels in diagnosing ventilator-associated pneumonia. Eur Respir J 2008;31:356-362.

33. Su LX, Meng K, Zhang X, et al. diagnosing ventilator-associated pneumonia in critically ill patients with sepsis. Am J Crit Care 2012;21:e110-e119.