Clinical features and antimicrobial resistance of bacterial agents of ventilator-associated tracheobronchitis in Hamadan, Iran
المؤلفون المشاركون
Hashimi, Sayyid Hamid
Hashimi, Nuaymah
Esna Ashari, Farzaneh
Tahir, Abbas
Dehghan, Arash
المصدر
العدد
المجلد 32، العدد 5 (30 سبتمبر/أيلول 2017)، ص ص. 403-408، 6ص.
الناشر
المجلس العماني للاختصاصات الطبية
تاريخ النشر
2017-09-30
دولة النشر
سلطنة عمان
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objectives: Ventilator-associated tracheobronchitis (VAT) is a common cause of mortality and morbidity in patients admitted to intensive care units (ICUs).
This study was conducted to evaluate the clinical course, etiology, and antimicrobial resistance of bacterial agents of VAT in ICUs in Hamedan, Iran.
Methods: During a 12-month period, all patients with VAT in a medical and a surgical ICU were included.
The criteria for the diagnosis of VAT were fever, mucus production, a positive culture of tracheal secretions, and the absence of lung infiltration.
Clinical course, including changes in temperature and tracheal secretions, and outcomes were followed.
The endotracheal aspirates were cultured on blood agar and chocolate agar, and antimicrobial susceptibility testing of isolates were performed using the disk diffusion method.
Results: Of the 1 070 ICU patients, 69 (6.4%) were diagnosed with VAT.
The mean interval between the patient’s intubation and the onset of symptoms was 4.7±8.5 days.
The mean duration of response to treatment was 4.9±4.7 days.
A total of 23 patients (33.3%) progressed to ventilatorassociated pneumonia (VAP), and 38 patients (55.0%) died.
The most prevalent bacterial isolates included Acinetobacter baumannii (24.6%), Pseudomonas aeruginosa (20.2%), and Enterobacter (13.0%).
P.
aeruginosa and Enterobacter were the most prevalent bacteria in surgical ICU, and A.
baumannii and K.
pneumoniae were the most common in the medical ICU.
All A.
baumannii and Citrobacter species were multidrug-resistant (MDR).
MDR pathogens were more prevalent in medical ICU compared to surgical ICU (p < 0.001).
Conclusions: VAT increases the rates of progression to VAP, the need for tracheostomy, and the incidence of mortality in ICUs.
Most bacterial agents of VAT are MDR.
Preventive policies for VAP, including the use of ventilator care bundle, and appropriate empirical antibiotic therapy for VAT may reduce the incidence of VAP.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hashimi, Sayyid Hamid& Hashimi, Nuaymah& Esna Ashari, Farzaneh& Tahir, Abbas& Dehghan, Arash. 2017. Clinical features and antimicrobial resistance of bacterial agents of ventilator-associated tracheobronchitis in Hamadan, Iran. Oman Medical Journal،Vol. 32, no. 5, pp.403-408.
https://search.emarefa.net/detail/BIM-784742
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hashimi, Sayyid Hamid…[et al.]. Clinical features and antimicrobial resistance of bacterial agents of ventilator-associated tracheobronchitis in Hamadan, Iran. Oman Medical Journal Vol. 32, no. 5 (Sep. 2017), pp.403-408.
https://search.emarefa.net/detail/BIM-784742
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hashimi, Sayyid Hamid& Hashimi, Nuaymah& Esna Ashari, Farzaneh& Tahir, Abbas& Dehghan, Arash. Clinical features and antimicrobial resistance of bacterial agents of ventilator-associated tracheobronchitis in Hamadan, Iran. Oman Medical Journal. 2017. Vol. 32, no. 5, pp.403-408.
https://search.emarefa.net/detail/BIM-784742
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 408
رقم السجل
BIM-784742
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر