Pneumonia nosocomial: Actualização terapêutica
نویسندگان
چکیده
منابع مشابه
An unusual nosocomial pneumonia.
A 34-year-old man presented with symptoms of left flank pain, gross hematuria, chills, and a cough productive of green, blood-streaked sputum. He was admitted to the hospital for treatment with fluids and pain control. On the second day after hospital admission, the patient complained of worsening shortness of breath, chills, and right-sided pleuritic chest pain. His medical history was remarka...
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Patients with nosocomial pneumonia have evidence of immunosuppression. The most obvious defect in immunity is the loss of mechanical barriers with an endotracheal tube. Only a third of colonized patients on ventilators develop pneumonia, however, suggesting that altered immunity is more extensive. This subgroup of patients tends to get multiple synchronous and sequential infections. The exact m...
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This article will critically review the evidence linking pneumonia to the aspiration of microbe-laden oropharyngeal secretions and tie that to the predisposition for these processes to affect dependent, medically compromised individuals. The goal of this review is to alert the reader to the role that oral disease and oral health play in fostering and preventing, respectively, widespread and pot...
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F ew investigators have studied the role of bronchoscopy in evaluating and managing patients with nosocomial pneumonia who are not responding to initial antibiotic therapy. This discussion examines whether the information provided by bronchoscopy has value in this setting, as well as whether the concept of using bronchoscopy for the nonresponding patient is a logical one. Importantly, serial br...
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a Unidad de Cuidados Intensivos Respiratorios, Hospital Clínic Universitari, Valencia, Spain b Neumología, Hospital Universitario La Princesa, Universidad Autónoma de Madrid, Madrid, Spain c Pulmonary/Critical Care Medicine, South Texas Veterans Health Care System, Audie L. Murphy Division; University of Texas Health Science Center at San Antonio, San Antonio, TX, USA d Unidad de Vigilancia Int...
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ژورنال
عنوان ژورنال: Revista Portuguesa de Pneumologia
سال: 2005
ISSN: 0873-2159
DOI: 10.1016/s0873-2159(15)30546-8