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Risk Factors for the Mortality of Pneumocystis jirovecii Pneumonia in Non-HIV Patients Who Required Mechanical Ventilation: A Retrospective Case Series Study
Joint Authors
Kotani, Toru
Katayama, Shinshu
Miyazaki, Yuya
Fukuda, Satoshi
Sato, Yoko
Ohsugi, Koichi
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-08
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
The risk factors for the mortality rate of Pneumocystis jirovecii pneumonia (PCP) who required mechanical ventilation (MV) remained unknown.
Methods.
A retrospective chart review was performed of all PCP patients admitted to our intensive care unit and treated for acute hypoxemic respiratory failure to assess the risk factors for the high mortality.
Results.
Twenty patients without human immunodeficiency virus infection required mechanical ventilation; 19 received noninvasive ventilation; and 11 were intubated.
PEEP was incrementally increased and titrated to maintain FIO2 as low as possible.
No mandatory ventilation was used.
Sixteen patients (80%) survived.
Pneumothorax developed in one patient with rheumatoid arthritis (RA).
Median PEEP level in the first 5 days was 10.0 cmH2O and not associated with death.
Multivariate analysis showed the association of incidence of interstitial lung disease and increase in serum KL-6 with 90-day mortality.
Conclusions.
We found MV strategies to prevent pneumothorax including liberal use of noninvasive ventilation, and PEEP titration and disuse of mandatory ventilation may improve mortality in this setting.
Underlying disease of interstitial lung disease was a risk factor and KL-6 may be a useful predictor associated with mortality in patients with RA.
These findings will need to be validated in larger studies.
American Psychological Association (APA)
Kotani, Toru& Katayama, Shinshu& Miyazaki, Yuya& Fukuda, Satoshi& Sato, Yoko& Ohsugi, Koichi. 2017. Risk Factors for the Mortality of Pneumocystis jirovecii Pneumonia in Non-HIV Patients Who Required Mechanical Ventilation: A Retrospective Case Series Study. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1138588
Modern Language Association (MLA)
Kotani, Toru…[et al.]. Risk Factors for the Mortality of Pneumocystis jirovecii Pneumonia in Non-HIV Patients Who Required Mechanical Ventilation: A Retrospective Case Series Study. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1138588
American Medical Association (AMA)
Kotani, Toru& Katayama, Shinshu& Miyazaki, Yuya& Fukuda, Satoshi& Sato, Yoko& Ohsugi, Koichi. Risk Factors for the Mortality of Pneumocystis jirovecii Pneumonia in Non-HIV Patients Who Required Mechanical Ventilation: A Retrospective Case Series Study. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1138588
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138588