Demographic and clinical associations with Hospital Acquired Pneumonia and Ventilator Associated Pneumonia
DOI:
https://doi.org/10.5433/anh.2020v2.id39649Keywords:
Pneumonia Associada à Ventilação Mecânica, Pneumonia Associada a Assistência à Saúde, Infecção Hospitalar, Enfermagem, Fatores de RiscoAbstract
Objective: to verify the association of sociodemographic and clinical characteristics with Ventilator Associated Pneumonia and Hospital Acquired Pneumonia Method a cross sectional study with secondary data obtained from notification forms of Healthcare Associated Infections that occurred between January 2017 and December 2018 whose variables were analyzed by descriptive and inferential statistics Results Ventilator Associated Pneumonia was more frequent in individuals between 18 and 59 years old and HAP in individuals aged 60 years and older (0,003 As for the unit where pneumonia was diagnosed, there was a higher frequency of Ventilator Associated Pneumonia in Intensive Care Units, Burn Treatment Centers, and Burn Intensive Care Units (p 0,001 The frequencies of death were 48 9 of the cases with Hospital Acquired Pneumonia and 69 2 of the cases of Ventilator Associated Pneumonia (p 0,001 There was a significant association between bacterial culture and type of pneumonia In the Ventilator Associated Pneumonia group, 76 0 of patients had a positive culture, compared to 56 3 in the Hospital Acquired Pneumonia group (0,001 The most frequent microorganisms were Acinetobacter baumannii Klebsiella pneumoniae Staphylococcus aureus and Pseudomona saeruginosa Conclusion there was a statistically significant association between type and pneumonia and age, with more frequent Ventilator Associated Pneumonia in young people and Hospital Acquired Pneumonia in elderly people There was also a significant association between type of pneumonia and the unit, with Ventilator Associated Pneumonia being more frequent in intensive care units and burns Death was more frequent in cases of Ventilator Associated Pneumonia, with a significant association.Metrics
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References
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Mota EC, Oliveira SP, Silveira BRM, Silva PLN, Oliveira AC. Incidência da pneumonia associada à ventilação mecânica em unidade de terapia intensiva. Medicina (Ribeirao Preto Online) 2017 Fev;50(1):39-6. doi: https://doi.org/10.11606/issn.2176-7262.v50i1p39-46
Al-Abdely HM, Khidir Mohammed Y, Rosenthal VD, Orellano PW, ALazhary M, Kaid E et al. Impact of the International Nosocomial Infection Control Consortium (INICC)'s multidimensional approach on rates of ventilator-associated pneumonia in intensive care units in 22 hospitals of 14 cities of the Kingdom of Saudi Arabia.
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Frota ML, Campanharo CRV, Lopes MCBT, Piacezzi LHV, Okuno MFP, Batista REA. Good practices for preventing ventilator-associated pneumonia in the emergency department. Rev Esc Enferm USP. 2019;53:e0460. doi: http://dx.doi.org/10.1590/S1980-220X2018010803460
Weyland B, Perazzi B, García S, Rodríguez C, Vay C, Famiglietti A, Etiología bacteriana de la neumonía nosocomial y resistencia a los antimicrobianos en pacientes con y sin tratamiento antimicrobiano previo. Revista Argentina de Microbiología 2011;43(1):18-23. doi: 10.1590/S0325-75412011000100004.
Ciginskienė A, Dambrauskienė A, Rello J, Adukauskienė D. Ventilator-Associated Pneumonia due to Drug-Resistant Acinetobacter baumannii: Risk Factors and Mortality Relation with Resistance Profiles, and Independent Predictors of In-Hospital Mortality. Medicina (Kaunas). 2019 Feb 13;55(2):49. doi: 10.3390/medicina55020049.
Moura AS, Souza GM, Alves MG, Brito MV, Ladeira LMC, Mendonça VF et al. Resistência bacteriana associada aos casos de infecção hospitalar na Santa Casa de Misericórdia de Passos (MG): estudo de caso. Ciencia Et Praxis [Internet] 2018. [cited 2020 Mar 09];11(21):95-106. Disponível em: http://revista.uemg.br/index.php/praxys/article/download/3886/2278.
Simsek M. Determination of the antibiotic resistance rates of Serratia marcescens isolates obtained from various clinical specimens. Niger J Clin Pract. 2019 Jan;22(1):125-130. doi: 10.4103/njcp.njcp_362_18.
Centers for Disease Control and Prevention (US): CDC/NHSN Surveillance Definitions for Specific Types of Infections. Atlanta (US): CDC; 2014.
Agência Nacional de Vigilância Sanitária (BR). Critérios Diagnósticos das Infecções Relacionadas à Assistência à Saúde. NOTA TÉCNICA GVIMS/GGTES Nº 03/2019. Brasília: Anvisa, 2019.
Izaias EM, Dellaroza MSG, Rossaneis MA, Belei RA. Custo e caracterização de infecção hospitalar em idosos. Ciênc. saúde coletiva [Internet]. 2014 Aug [cited 2020 Mar 09];19(8):3395-3402. Disponível em: https://doi.org/10.1590/1413-81232014198.12732013.
Micek ST, Chew B, Hampton N, Kollef MH. A Case-Control Study Assessing the Impact of Nonventilated Hospital-Acquired Pneumonia on Patient Outcomes. Chest 2016 Nov;150(5):1008-14. doi:10.1016/j.chest.2016.04.009.
Marini AL, Khan R, Mundekkadan S. Multifaceted bundle interventions shown effective in reducing VAP rates in our multidisciplinary ICUs. BMJ Qual Improv Rep. 2016;5(1):u205566.w2278. doi: http://dx.doi.org/10.1136/bmjquality.u205566.w2278.
Sopena N, Heras E, Casas I, Bechini J, Guasch I, Pedro-Botet ML et al. Risk factors for hospital-acquired pneumonia outside the intensive care unit: a case-control study. Am J Infect Control. 2014 Jan;42(1):38-42. doi: 10.1016/j.ajic.2013.06.021.
Zhang Z, Duan J. Nosocomial pneumonia in non-invasive ventilation patients: incidence, characteristics, and outcomes. J Hosp Infect. 2015 Oct;91(2):153-7. doi: 10.1016/j.jhin.2015.06.016.
Mota EC, Oliveira SP, Silveira BRM, Silva PLN, Oliveira AC. Incidência da pneumonia associada à ventilação mecânica em unidade de terapia intensiva. Medicina (Ribeirao Preto Online) 2017 Fev;50(1):39-6. doi: https://doi.org/10.11606/issn.2176-7262.v50i1p39-46
Al-Abdely HM, Khidir Mohammed Y, Rosenthal VD, Orellano PW, ALazhary M, Kaid E et al. Impact of the International Nosocomial Infection Control Consortium (INICC)'s multidimensional approach on rates of ventilator-associated pneumonia in intensive care units in 22 hospitals of 14 cities of the Kingdom of Saudi Arabia.
J Infect Public Health. 2018 Sep - Oct;11(5):677-684. doi: 10.1016/j.jiph.2018.06.002.
Nunes BP, Soares MU, Wachs LS, Volz PM, Saes MO, Duro SMS et al. Hospitalization in older adults: association with multimorbidity, primary health care and private health plan. Rev Saude Publica. 2017 May;51(43):1-10. doi: 10.1590/S1518-8787.2017051006646.
Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011 Sep;10(4):430-9. doi: 10.1016/j.arr.2011.03.003.
Ribeiro CL; Barbosa IV; Silva RSM; Cetari VRF; Penaforte KL; Custodio IL. Clinical characterization of patients under mechanical ventilation in an intensive therapy unit. Rev Fund Care Online. 2018 abr/jun;10(2):496-502. doi: http://dx.doi.org/10.9789/2175-5361.rpcfo.v10.6109.
Silva TG, Souza GN, Souza SS, Bitencourt JVV, Madureira VF, Luzardo AR. Incidência de pneumonia associada à ventilação mecânica em uma Unidade de Terapia Intensiva. Rev Fund Care Online. 2017 out/dez;9(4): 1121-1125. doi: http://dx.doi.org/10.9789/2175-5361.2017.v9i4. 1121-1125.
Moraes DS, Cordeiro NM, Fonseca ADG, Silva CSO, Souza LPS, Lopes JR. Fatores associados à internação prolongada nas admissões pela urgência e emergência . 2017;15( 2): 680-91. doi: http://dx.doi.org/10.5892/ruvrd.v15i2.3770.
Zambonin F, Lima KLB, Brito AR, Brito TB, Amorim RF, Caldart RV. Classification of emergency patients according to their dependency on nursing. J Nurs UFPE online. 2019 Apr;13(4):1133-41. doi: https://doi.org/10.5205/1981-8963-v13i04a236792p1133-1141-2019
Santos CR, Costa BHS, Dias TKC, Guedes HCS, Paz MSS, Oliveira TC et al. Risk factors favoring pneumonia associated with mechanical ventilation. J Nurs UFPE online. 2018 Dec;12(12):3401-15. doi: https://doi.org/10.5205/1981-8963-v12i12a235025p3401-3415-2018
Gille J, Bauer N, Malcharek MJ, Dragu A, Sablotzki A, Taha H et al. Reducing the Indication for Ventilatory Support in the Severely Burned Patient: Results of a New Protocol Approach at a Regional Burn Center. J Burn Care Res. 2016 May-Jun;37(3):e205-12. doi: 10.1097/BCR.0000000000000238.
Frota ML, Campanharo CRV, Lopes MCBT, Piacezzi LHV, Okuno MFP, Batista REA. Good practices for preventing ventilator-associated pneumonia in the emergency department. Rev Esc Enferm USP. 2019;53:e0460. doi: http://dx.doi.org/10.1590/S1980-220X2018010803460
Weyland B, Perazzi B, García S, Rodríguez C, Vay C, Famiglietti A, Etiología bacteriana de la neumonía nosocomial y resistencia a los antimicrobianos en pacientes con y sin tratamiento antimicrobiano previo. Revista Argentina de Microbiología 2011;43(1):18-23. doi: 10.1590/S0325-75412011000100004.
Ciginskienė A, Dambrauskienė A, Rello J, Adukauskienė D. Ventilator-Associated Pneumonia due to Drug-Resistant Acinetobacter baumannii: Risk Factors and Mortality Relation with Resistance Profiles, and Independent Predictors of In-Hospital Mortality. Medicina (Kaunas). 2019 Feb 13;55(2):49. doi: 10.3390/medicina55020049.
Moura AS, Souza GM, Alves MG, Brito MV, Ladeira LMC, Mendonça VF et al. Resistência bacteriana associada aos casos de infecção hospitalar na Santa Casa de Misericórdia de Passos (MG): estudo de caso. Ciencia Et Praxis [Internet] 2018. [cited 2020 Mar 09];11(21):95-106. Disponível em: http://revista.uemg.br/index.php/praxys/article/download/3886/2278.
Simsek M. Determination of the antibiotic resistance rates of Serratia marcescens isolates obtained from various clinical specimens. Niger J Clin Pract. 2019 Jan;22(1):125-130. doi: 10.4103/njcp.njcp_362_18.
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2020-09-24
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Bacellar, K. K., Furuya, R. K., Sanches, J. P. S., Kerbauy, G., Belei, R. A., & Pieri, F. M. (2020). Demographic and clinical associations with Hospital Acquired Pneumonia and Ventilator Associated Pneumonia. Advances in Nursing and Health, 2. https://doi.org/10.5433/anh.2020v2.id39649
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