Abstract
A clear understanding of which patients acquire nosocomial infection and why they do it is an important goal to improve infection control measures and design preventive strategies adapted to the various at-risk populations entering our ICU. For example, it is now clear that prevention of pneumonia through administration of selective digestive decontamination (SDD) to all unselected ICU patients is a poorly effective exercise, wasteful of resources, and potentially harmful. Selected populations of patients who combine specific risk factors may however benefit from this preventive technique or some of its components.
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References
Britt MR, Schleupner CJ, Matsumiya S (1978) Severity of underlying disease as predictor of nosocomial infection. Utility in the control of nosocomial infection. JAMA 239: 1047–1051
Wunderink KC, Woldenberg LS, Zeiss J, et al. (1992) The radiologic diagnosis of autopsy-proven ventilator-associated pneumonia. Chest 101: 458–463
Andrews CP, Coalson JJ, Smith JD, Johanson WG (1981) Diagnosis of nosocomial bacterial pneumonia in acute diffuse lung injury. Chest 80: 254–258
Fagon JY, Chastre J, Hance AJ, et al. (1988) Detection of nosocomial lung infection in ventilated patients. Am Rev Respir Dis 138: 110–116
Montgomery AB, Stager MA, Carrico CJ, Hudson LD (1985) Causes of mortality in patients with the adult respiratory distress Syndrome. Am Rev Respir Dis 132: 485–489
Gross PA, Van Antwerpen C (1983) Nosocomial infections and hospital deaths: A case-control study. Am J Med 75: 659–663
Garibaldi RA, Britt MR, Coleman ML (1981) Risk factors for postoperative pneumonia. Am J Med 70: 677–680
Craven DE, Kunches LM, Lichtenberg DA, et al. (1988) Nosocomial infections and fatality in medical and surgical intensive care unit patients. Arch of Intern Med 148: 1161–1168
Hanson LC, Weber DJ, Rutala WA (1992) Risk factors for nosocomial pneumonia in the elderly. Am J Med 92: 161–166
Celis R, Torres A, Gatell JM, Almela M, Rodriguez-Roisin R, Augusti-Vidal A (1988) Nosocomial pneumonia: A multivariate analysis of risk and prognosis. Chest 93: 318–324
Mosconi P, Langer M, Cigada M, Mandelli M, and ICUGIC (1991) Epidemiology and risk factors of pneumonia in critically ill patients. Eur J Epidemiol 7: 320–327
Langer M, Cigada M, Mandelli M, Mosconi P, Tognoni G, and ICUGIC (1987). Early onset pneumonia: A multicenter study in intensive care units. Intensive Care Med 13: 342–346
Chevret S, Hemmer M, Carlet J, Langer M, and the European Cooperative Group on Nosocomial Pneumonia (1993) Incidence and risk factors of pneumonia acquired in intensive care units. Results from a multicenter prospective study on 996 patients. Intensive Care Med (in press)
Cross AS, Roup B (1981) Role of respiratory assistance devices in endemic nosocomial pneumonia. Am J Med 70: 681–688
Langer M, Mosconi P, Cigada M, Mandelli M, and ICUGIC (1989) Long-term respiratory Support and risk of pneumonia in critically ill patients. Am Rev Respir Dis 140: 302–305
Fagon JY, Chastre J, Domart Y, et al. (1989) Nosocomial pneumonia in patients receiving continuous mechanical Ventilation: Prospective analysis of 52 episodes with use of a protected specimen brush and quantitative culture techniques. Am Rev Respir Dis 139: 877–884
Craven DE, Kunches LM, Kilinsky V, Lichtenberg DA, Make BJ, McCabe WR (1986) Risk-factors for pneumonia and fatality in patients receiving continuous mechanical Ventilation. Am Rev Respir Dis 133: 792–796
Torres A, Aznar R, Gatell JM, et al (1990) Incidence, risk and prognosis factors of nosocomial pneumonia in mechanically ventilated patients. Am Rev Respir Dis 142: 523–528
Rello J, Quintana E, Ausinat V, et al. (1991) Incidence, etiology and outcome of nosocomial pneumonia in mechanically ventilated patients. Chest 100: 439–444
Cook DJ, Laine LA, Guyatt GH, Raffin TA (1991) Nosocomial pneumonia and the role of gastric pH. A meta analysis. Chest 100: 7–13
Dricks MR, Craven DE, Celli BR, et al. (1987) Nosocomial pneumonia in intubated patients given sucralfate as compared with antacids or histamine type-2 blockers. N Engl J Med 317: 1376–1382
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Brun-Buisson, C. (1993). Risk Factors for Nosocomial Pneumonia. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1993. Yearbook of Intensive Care and Emergency Medicine 1993, vol 1993. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84904-6_25
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DOI: https://doi.org/10.1007/978-3-642-84904-6_25
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