Microbiological findings and adequacy of antibiotic treatment in the critically ill patient with drowning-associated pneumonia
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One of the main factors contributing to the risk of developing pneumonia after a drowning incident is the aspiration of water or gastric contents. It has been estimated that approximately 90 % of patients aspirate water during a drowning episode and that 10 % die of dry asphyxia caused by laryngospasm [1, 2, 3, 4]. Bacteria causing pneumonia in drowning victims are often waterborne or of oropharyngeal origin; fungi have been described as a less common cause of pneumonia in these victims . The main aim of our study was to identify micro-organisms causing drowning-associated pneumonia and compare these to micro-organisms cultured from locally retrieved water samples. With these two goals, we tried to confirm whether the spectrum of our empirical antimicrobial therapy adequately covers the detected micro-organisms.
From 2001 until 2012 49 drowning victims were admitted to our Intensive Care Unit, of whom 18 developed pneumonia. Drowning-associated pneumonia criteria were:...
KeywordsTracheal Aspirate Nearby Site Empirical Antimicrobial Therapy Initial Antimicrobial Therapy Ceftazidim
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