Hydrocortisone infusion for severe community-acquired pneumonia: Yes, not so fast, or no?
نویسندگان
چکیده
منابع مشابه
Hydrocortisone infusion may improve survival in patients with severe community-acquired pneumonia
Subjects: Forty-six patients admitted to the intensive care unit with clinical and radiographic evidence of pneumonia and either two minor or one major 1993 American Thoracic Society criterion for severe pneumonia. Patients with nosocomial pneumonia, immunosuppression, acute burn injury, pregnancy, life expectancy less than 3 months, and conditions requiring more than 0.5 mg/kg/day of prednison...
متن کاملSevere community-acquired pneumonia.
Community-acquired pneumonia (CAP) is the leading cause of death from infectious diseases in the United States. It accounts for 500,000 hospitalizations and 45,000 deaths each year, and it represents one of the most common causes of ICU admission. The mortality rate due to severe CAP has shown little improvement over the past few years, with rates as high as 58% when patients were admitted to t...
متن کاملCorticosteroid treatment of severe community-acquired pneumonia.
OBJECTIVE To assess the evidence for adjunctive corticosteroids for severe community-acquired pneumonia (CAP). DATA SOURCES MEDLINE (1966-February 2007) and EMBASE (1980-February 2007) were searched to identify English- and French-language publications that evaluated the use of corticosteroids for CAP in adults. Major search terms included community-acquired pneumonia, intensive care unit, st...
متن کاملMiddle molecules in severe community-acquired pneumonia
Results Patients admitted had mean age of 62 ± 1.2 years, PORT classes IV-V and mean Pneumonia Severity Index score of 108.5 ± 3.8. In all patients on admission there was a high level of endogenous intoxication manifested by 1.8 times increasing levels of MM compared to the control group (0.262 ± 0.001 versus 0.146 ± 0.02 optic units, p < 0.05). There was a positive trend with a decline of MM o...
متن کامل[Severe community-acquired pneumonia in adults].
Patients with severe community acquired pneumonia (CAP) need continuous surveillance and monitoring at intensive care units (ICU), where they can receive specialized support as mechanical ventilation and/or hemodynamic support. Patients that require ICU admittance represent 10 to 30% of all patients interned because a pneumonia. In this category, high complication rate, prolonged hospital stay ...
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ژورنال
عنوان ژورنال: Journal of the Japanese Society of Intensive Care Medicine
سال: 2007
ISSN: 1340-7988,1882-966X
DOI: 10.3918/jsicm.14.255