Your browser doesn't support javascript.
loading
Neumonía asociada a cuidados de la salud: revisión de la evidencia publicada / Health-care associated pneumonia: review of published evidence
Vedia, de Lautaro; Di Líbero, Eugenia; Scapellato, Pablo; Desse, Javier.
  • Vedia, de Lautaro; Hospital de Infecciosas Francisco J. Muñiz. Ciudad Autónoma de Buenos Aires. AR
  • Di Líbero, Eugenia; Hospital Interzonal General de Agudos "Evita". Buenos Aires. AR
  • Scapellato, Pablo; Hospital D.F. Santojanni. Unidad de Infectología. Ciudad Autónoma de Buenos Aires. AR
  • Desse, Javier; Hospital Zonal General de Agudos "Dr. Enrique Erill". Buenos Aires. AR
Actual. SIDA. infectol ; 26(97): 1-11, 20180000. tab
Article in Spanish | LILACS, BINACIS | ID: biblio-1355105
RESUMEN
El concepto de neumonía asociada a cuidados de la salud (NACS) surgió a partir de la presunción de que los patógenos causantes del cuadro tendrían mayores probabilidades de ser microorganismos multiresistentes (MOMR), por lo que el esquema de tratamiento antibiótico debía ser diferente al requerido en neumonía adquirida en la comunidad (NAC). Sin embargo, la evidencia que sustenta esa idea no es lo suficientemente robusta. Dado lo complejo del tema, y su elevado impacto en el consumo exagerado de antibióticos, se presenta esta revisión. Es posible que la ausencia de los factores de riesgo usualmente descriptos, o la presencia de solo uno, sugiera poca probabilidad deMOMR, por lo que el abordaje terapéutico debería ser similaral de NAC. Por el contrario, ante la acumulación de factoresde riesgo o frente a cuadros severos se podría considerarla cobertura de MOMR mediante un esquema de espectroampliado
ABSTRACT
The concept of health-care-associated pneumonia (HCAP) arose from the presumption that the pathogens that cause the disease would be more likely to be multi-resistant microorganisms (MRMO), so the antibiotic treatment scheme should be different from the one required in community acquired pneumonia (CAP). However, the evidence supporting this idea is not robust enough. Given the complexity of the topic, and its high impact on the exaggerated consumption of antibiotics, this review is presented. It is possible that the absence of risk factors usually described, or the presence of only one, suggests a low probability of MRMO, so the therapeutic approach should be similar to that ofCAP. On the contrary, in view of the accumulation of risk factors or in severecases, MRMO coverage could be considered, through an extended spectrum scheme
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Pneumonia / Hospital Services / Patient Care Management / Prospective Studies / Antimicrobial Stewardship / Health Services for the Aged Type of study: Evaluation studies / Observational study / Risk factors Limits: Humans Language: Spanish Journal: Actual. SIDA. infectol Journal subject: Medicine / SINDROIMUNE IMUN ADQUIRIDAUIRIDAUIRIDA Year: 2018 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital D.F. Santojanni/AR / Hospital Interzonal General de Agudos "Evita"/AR / Hospital Zonal General de Agudos "Dr. Enrique Erill"/AR / Hospital de Infecciosas Francisco J. Muñiz/AR

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: LILACS (Americas) Main subject: Pneumonia / Hospital Services / Patient Care Management / Prospective Studies / Antimicrobial Stewardship / Health Services for the Aged Type of study: Evaluation studies / Observational study / Risk factors Limits: Humans Language: Spanish Journal: Actual. SIDA. infectol Journal subject: Medicine / SINDROIMUNE IMUN ADQUIRIDAUIRIDAUIRIDA Year: 2018 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital D.F. Santojanni/AR / Hospital Interzonal General de Agudos "Evita"/AR / Hospital Zonal General de Agudos "Dr. Enrique Erill"/AR / Hospital de Infecciosas Francisco J. Muñiz/AR