BACKGROUND Some studies suggested that psychological stress may be associated with the severity and duration of infectious diseases. In this population-based study, we investigated associations between depressive disorder (DD) and pneumonia outcomes in Taiwan with a large-scale database from the National Health Insurance. METHODS Our study defined 112,198 patients who were hospitalized with a...

Community-acquired necrotizing pneumonia caused by methicillin-resistant Staphylococcus aureus (MRSA) has been reported with increasing frequency in children.1 MRSA pneumonia can be complicated by pleural effusion, empyema, pneumatoceles, respiratory failure, and bronchopleural fistula.1,2 Maintaining adequate gas exchange with conventional mechanical ventilation is often problematic in patient...

BACKGROUND Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning stra...

Ventilator-associated pneumonia is the commonest, yet mostly preventable, infection in mechanically ventilated patients. Successful control of ventilatorassociated pneumonia can save hospitalisation cost, and is possible by using a multidisciplinary clinical and administrative approach. The ventilatorassociated pneumonia rate should be expressed as the number of ventilator-associated pneumonia ...

Idiopathic interstitial pneumonia frequently causes severe pulmonary restriction that in turn makes mechanical ventilation difficult. We report the case of a 44-year-old woman who developed a refractory severe hypercapnic respiratory failure (P(aCO(2)) 281 mm Hg, pH 6.77) despite mechanical ventilation with high inspiratory pressure and PEEP. A pumpless extracorporeal lung assist device, Noval...

Infekcije uzrokovane bakterijom Acinetobacter baumannii predstavljaju veliki javnozdravstveni problem. kontaminira bolničko okruženje, kožu i sluznice pacijenata te se prenosi rukama osoblja uzrokujući oportunističke infekcije kao što su upale pluća povezane s mehaničkom ventilacijom, bakterijemije, rana urinarne infekcije. Ventilatorom uzrokovana upala druga je po učestalosti nozokomijalna inf...

Background: Pneumonia is a common cause of morbidity and mortality in ICU patients under mechanical ventilation. In recent years the use herbal mouthwashes, due to antimicrobial effects fewer side effects, has been studied reducing incidence ventilator-associated pneumonia (VAP). this study, effect Persica mouthwash prevention VAP was compared with chlorhexidine. Methods: This study double-blin...

Results: Multidrug-resistant bacteria were isolated in 75 cases (82.4%) and drug-sensitive bacteria in 16 (17.6%). Clinical and epidemiological characteristics were not statistically different between the groups. Staphylococcus aureus was responsible for 27.5% of ventilator-associated pneumonia episodes and Pseudomonas aeruginosa for 17.6%. Early-onset ventilator-associated pneumonia occurred i...