Revista de Investigación Científica y Tecnológica

Vol. 3 No. 1 (2019)
Artículos Originales

Prevalence of pneumonia associated with mechanical ventilation in patients of the Adult Intensive Therapy Unit of the Regional Hospital of Coronel Oviedo in 2016

PDF (Español (España))
  • Juan Manuel Invernizzi Prats,
  • Roberto Daniel Álvarez Ovelar,
  • Karen Yohana Rodas Benítez,
  • Marcos David Martínez Román
Juan Manuel Invernizzi Prats
Instituto de Previsión Social, Paraguay
Bio
Roberto Daniel Álvarez Ovelar
Instituto de Previsión Social, Paraguay
Bio
Karen Yohana Rodas Benítez
Instituto de Previsión Social, Paraguay
Bio
Marcos David Martínez Román
Instituto de Previsión Social, Paraguay
Bio
DOI: https://doi.org/10.36003/Rev.investig.cient.tecnol.V3N1(2019)3

Published 2020-12-07

Keywords

  • Neumonía asociada al ventilador,
  • Neumonía bacteriana,
  • Infección hospitalaria
  • Pneumonia associated with the ventilator,
  • Bacterial pneumonia,
  • Hospital infection

How to Cite

Invernizzi Prats, J. M. ., Álvarez Ovelar, R. D. ., Rodas Benítez, K. Y. ., & Martínez Román, M. D. (2020). Prevalence of pneumonia associated with mechanical ventilation in patients of the Adult Intensive Therapy Unit of the Regional Hospital of Coronel Oviedo in 2016. Revista De Investigación Científica Y Tecnológica, 3(1), 33–42. https://doi.org/10.36003/Rev.investig.cient.tecnol.V3N1(2019)3

Copyright (c) 2020 Juan Manuel Invernizzi Prats, Roberto Daniel Álvarez Ovelar, Karen Yohana Rodas Benítez, Marcos David Martínez Román

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Pneumonia Associated with Mechanical Ventilation is the most frequent complication found in Intensive Therapy rooms. The pneumonia develops after 48 hours of the connection to mechanical ventilation. The aim of the study was to determine the prevalence of pneumonia associated with mechanical ventilation in patients admitted to the adult intensive care unit of the Regional Hospital of Coronel Oviedo in 2016. An observational, descriptive, cross-sectional study was carried out, which included 107 patients admitted to the Adult Intensive Therapy Unit with connection to mechanical ventilation for more than 48 hours at the Regional Hospital of Coronel Oviedo during 2016. 107 patients with an average age of 58.64 ± 18.05 entered the study. years, 51.9% of the patients were men and 52% were from the urban area. 50.9% had as a basic pathology to arterial hypertension and 35.8% to diabetes mellitus, 55.7% had as diagnosis of admission to acute renal failure. 17.9% was the value of the prevalence of pneumonia associated with mechanical ventilation, with the latter being classified as the most frequent in 78.94%. 58.5%, of the patients who developed the pathology obitaron and the most frequently isolated germ was Pseudomonas aeruginosa. It is concluded that the prevalence of pneumonia associated with mechanical ventilation was low, the largest number of patients included in the study were male, of urban origin and were in 50 and 59 years. The most frequent diagnosis of admission was of a clinical type. Pneumonia associated with Mechanical Ventilation was more prevalent in males and in the age group of 59 years or younger. More than half of the patients who developed the pathology died. The most frequently isolated germ was Pseudomonas aeruginosa.

PDF (Español (España))

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

  1. Mahmoodpoor A, Hamishehkar H, Hamidi M, Shadvar K, Sanaie S, Golzari SE, et al. A prospective randomized trial of tapered-cuff endotracheal tubes with intermittent subglottic suctioning in preventing ventilator-associated pneumonia in critically ill patients. J Crit Care. abril de 2017;38:152-6.
  2. Mahmoodpoor A, Hamishehkar H, Hamidi M, Shadvar K, Sanaie S, Golzari SE, et al. A prospective randomized trial of tapered-cuff endotracheal tubes with intermittent subglottic suctioning in preventing ventilator-associated pneumonia in critically ill patients. J Crit Care. abril de 2017;38:152-6.
  3. Alí-Munive A, Hernández-Parra Á, Molina F, Poveda CM, Meza RA, Castro H, et al. Traqueobronquitis y neumonía asociada a ventilación mecánica en unidades de cuidado intensivo de Latinoamérica: epidemiología, curso clínico y desenlaces (Estudio LATINAVE). Infectio [Internet]. 27 de mayo de 2016; Disponible en: http://www.sciencedirect.com/science/article/pii/S012393921630008X
  4. Fica C A, Cifuentes D M, Hervé E B. Actualización del Consenso «Neumonía asociada a ventilación mecánica» Primera parte: Aspectos diagnósticos. Rev Chil Infectol. abril de 2011;28(2):130-51.
  5. Larsson J, Itenov TS, Bestle MH. Risk prediction models for mortality in patients with ventilator-associated pneumonia: A systematic review and meta-analysis. J Crit Care. febrero de 2017;37:112-8.
  6. Rodriguez B, Iraola M, Molina F, Pereira E. Infección hospitalaria en la Unidad de Cuidados Intensivos Polivalente de un hospital universitario cubano. Rev Cuba Investig Biomed [Internet]. set de 2016 [citado 1 de agosto de 2017];25(3). Disponible en: http://bvs.sld.cu/revistas/ibi/vol25_3_06/ibi03306.html
  7. Caballero H, Samudio S, Bianco H, Montiel C, Sartori J, Báez S, et al. Clinics features and complications in patients receiving mechanical ventilation in the adults intensive care unit of the Hospital de Clínicas. An Fac Cienc Médicas Asunción. junio de 2012;45(1):45-54.
  8. Contreras K. Factores de riesgo dependientes del huésped para neumonía asociada a ventilador en la uci del Hospital Nacional Dos de Mayo desde enero 2013- enero 2015 [Internet]. [Lima, Peru]: Universidad Ricardo Palma; 2017. Disponible en: http://cybertesis.urp.edu.pe/handle/urp/987
  9. Quartin AA, Scerpella EG, Puttagunta S, Kett DH. A comparison of microbiology and demographics among patients with healthcare-associated, hospital-acquired, and ventilator-associated pneumonia: a retrospective analysis of 1184 patients from a large, international study. BMC Infect Dis. 27 de noviembre de 2013;13:561.
  10. Ortiz G, Dueñas C, Garay M. Neumonía asociada a la ventilación mecánica: prevención, diagnóstico y tratamiento. Acta Colomb Cuid Intensivo. 1 de octubre de 2015;15(4):312-21.
  11. Safdar N, Dezfulian C, Collard HR, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med. octubre de 2005;33(10):2184-93.
  12. Iribarren B O, Aranda T J, Dorn H L, Ferrada M M, Ugarte E H, Koscina M V, et al. Factores de riesgo para mortalidad en neumonía asociada a ventilación mecánica. Rev Chil Infectol. junio de 2009;26(3):227-32.
  13. Khan R, Al-Dorzi HM, Al-Attas K, Ahmed FW, Marini AM, Mundekkadan S, et al. The impact of implementing multifaceted interventions on the prevention of ventilator-associated pneumonia. Am J Infect Control. 1 de marzo de 2016;44(3):320-6.
  14. Melsen WG, Rovers MM, Groenwold RHH, Bergmans DCJJ, Camus C, Bauer TT, et al. Attributable mortality of ventilator-associated pneumonia: a meta-analysis of individual patient data from randomised prevention studies. Lancet Infect Dis. agosto de 2013;13(8):665-71.
  15. Restrepo MI, Anzueto A, Arroliga AC, Afessa B, Atkinson MJ, Ho NJ, et al. Economic burden of ventilator-associated pneumonia based on total resource utilization. Infect Control Hosp Epidemiol. mayo de 2010;31(5):509-15.
  16. Restrepo MI, Peterson J, Fernandez JF, Qin Z, Fisher AC, Nicholson SC. Comparison of the bacterial etiology of early-onset and late-onset ventilator-associated pneumonia in subjects enrolled in 2 large clinical studies. Respir Care. julio de 2013;58(7):1220-5.
  17. Jimenez S, Restoy G. Comportamiento microbiológico de pacientes con neumonía asociada al ventilador. Rev Cuba Med Intensiva Emerg. 2007;6(1):591-9.
  18. Warren DK, Shukla SJ, Olsen MA, Kollef MH, Hollenbeak CS, Cox MJ, et al. Outcome and attributable cost of ventilator-associated pneumonia among intensive care unit patients in a suburban medical center. Crit Care Med. mayo de 2003;31(5):1312-7.
  19. Mora MC. Neumonía asociada al ventilador en una unidad de cuidados intensivos / Ventilator-associated pneumonia in an intensive care unit. Rev Cuba Med Intensiva Emerg [Internet]. 5 de septiembre de 2017 [citado 26 de octubre de 2017];16(4). Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/62-74
  20. Labaut Arévalo N, Riera Santiesteban R, Fuentes P, A I, Castañeda Carrazana Y. Neumonía asociada a la ventilación mecánica en una unidad de cuidados intensivos. MEDISAN. diciembre de 2011;15(12):1759-64.
  21. Chertcoff FJ, Quadrelli S, Soloaga ED, Chertcoff ML, Poliszuk J, Pérez Prieto F. Asistencia respiratoria mecánica: Influencia de la edad en la evolución. Med B Aires. febrero de 2011;71(1):27-32.
  22. Bosch Costafreda C, Riera Santiesteban R, Badell Pomar C. Morbilidad y mortalidad en pacientes con ventilación mecánica invasiva en una unidad de cuidados intensivos. MEDISAN. marzo de 2014;18(3):377-83.