OBJECTIVE To evaluate the effects of oral chlorhexidine hygiene with toothbrushing on the rate of ventilator-associated pneumonia in a mixed population of critically ill patients under prolonged mechanical ventilation. METHODS Prospective, randomized, and placebo-controlled pilot study. Patients who were receiving mechanical ventilation, had been admitted less than 24 hours prior, and were an...

OBJECTIVE To evaluate the effect of oral decontamination on the incidence of ventilator associated pneumonia and mortality in mechanically ventilated adults. DESIGN Systematic review and meta-analysis. DATA SOURCES Medline, Embase, CINAHL, the Cochrane Library, trials registers, reference lists, conference proceedings, and investigators in the specialty. REVIEW METHODS Two independent rev...

introduction: pneumonia is an inflammation of the parenchyma of the lungs. most cases of pneumonia are caused by microorganisms, but there are several non-infectious causes accordingly. pneumonia is a considerable cause of mortality in childhood, throughout the world, particularly in developing countries. this study, according to this important matter, evaluated & inspected all of the patients ...

Ventilator associated pneumonia (VAP) is the most common infection diagnosed in intensive care units (ICUs). VAP is defined as pneumonia that occurs 48 hours or more after endotracheal intubation or tracheostomy, caused by infectious agents not present or incubating at the time mechanical ventilation was started. 1 It can be of two types. Early-onset VAP, defined as occurring within the first 4...

BACKGROUND AND PURPOSE Data on medical complications after intracerebral hemorrhage (ICH) are sparse. We assessed trends in the prevalence of urinary tract infection, pneumonia, sepsis, deep venous thrombosis (DVT), pulmonary embolism, acute renal failure (ARF), and acute myocardial infarction after ICH in the United States. METHODS A total of 575 211 adult ICH cases were identified from the ...

INTRODUCTION Since positive blood cultures are uncommon in patients with nosocomial pneumonia (NP), the responsible pathogens are usually isolated from respiratory samples. Studies on bacteremia associated with hospital-acquired pneumonia (HAP) have reported fatality rates of up to 50%. The purpose of the study is to compare risk factors, pathogens and outcomes between bacteremic nosocomial pne...

Critically ill patients are intubated or tracheostomized because, in most cases, these individuals require invasive mechanical ventilation. The cannulae that are used include the cuff, which can act as a reservoir for oropharyngeal secretions, predisposing to ventilator-associated pneumonia. Studies have revealed that the suction of subglottic secretions through the dorsal suction lumen above t...

conclusions central nervous system depressant was an important risk factor for vap among poisoned patients. hypoventilation due to cns depression can lead to vap. the apache ii and length of hospital stay were shown as independent predictors of vap and mortality among these patients. results the mean age of the patients was 33.9 ± 14.3 years. the probable vap incidence and mortality were 22% an...