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Intensive Care Medicine

, Volume 40, Issue 2, pp 290–291 | Cite as

Microbiological findings and adequacy of antibiotic treatment in the critically ill patient with drowning-associated pneumonia

  • Evelien Assink-de Jong
  • Matthijs Douma
  • Albertus Beishuizen
  • Martine Hoogewerf
  • Yvette J. Debets-Ossenkopp
  • Monique C. de Waard
  • Armand R. J. Girbes
Letter

Dear Editor,

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 [2]. 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:...

Keywords

Tracheal Aspirate Nearby Site Empirical Antimicrobial Therapy Initial Antimicrobial Therapy Ceftazidim 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflicts of interest

None.

References

  1. 1.
    Layon AJ, Modell JH (2009) Drowning: update 2009. Anesthesiology 110(6):1390–1401PubMedCrossRefGoogle Scholar
  2. 2.
    Ender PT, Dolan MJ (1997) Pneumonia associated with near-drowning. Clin Infect Dis 25(4):896–907PubMedCrossRefGoogle Scholar
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    Tadié JM, Heming N, Serve E, Weiss N, Day N, Imbert A, Ducharne G, Faisy C, Diehl JL, Safran D, Fagon JY, Guérot E (2012) Drowning associated pneumonia: a descriptive cohort. Resuscitation 83(3):399–401PubMedCrossRefGoogle Scholar
  4. 4.
    Hasibeder WR (2003) Drowning. Curr Opin Anaesthesiol 16(2):139–145PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2013

Authors and Affiliations

  • Evelien Assink-de Jong
    • 1
  • Matthijs Douma
    • 1
  • Albertus Beishuizen
    • 1
  • Martine Hoogewerf
    • 2
  • Yvette J. Debets-Ossenkopp
    • 2
  • Monique C. de Waard
    • 1
  • Armand R. J. Girbes
    • 1
  1. 1.Department of Intensive CareVU University Medical CenterAmsterdamThe Netherlands
  2. 2.Department of Medical Microbiology and Infection ControlVU University Medical CenterAmsterdamThe Netherlands

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