Hernández TE, Rivera HF, García MF, Castañeda LR, Estrada HA, Robles AJF, Medina RM, Ferro FL

Language: Spanish
References: 31
Page: 86-91
PDF size: 60.69 Kb.

ABSTRACT

Objective. To know the frequency of pneumonia associated to mechanical ventilation.
Subjects. 100 clinical records of children attended with mechanical ventilation in a pediatric intensive care unit were reviewed.
Methods. According to an international consensus for pneumonia the analysis of the records was oriented to this diagnosis.
Results. 60 of the patients had pneumonia related to the mechanical ventilation. The children most affected were below 1 year of age. The risk of pneumonia increased with the number of day in the hospital. The position of the children in dorsal decubits had an MR of 3.6 (p ‹ 0.001). The use of high spectrum antibiotic had an MR of 6 (p ‹ 0.002). Pseudomona aeruginosa and Staphylococcus aureus there were the germs most frequently found.
Conclusions. The rational antibiotic use, the semifowler position as well as the use of isolation techniques most be implemented in the pediatric intensive care units in order to control the pneumonia in children with mechanical ventilation.

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