Influence of an Improved Method of Endotracheal Suction on Nosocomial Pneumonia and Tracheal Colonization by Pseudomonas aeruginosa and Acinetobacter baumannii in Intensive Care Units / 병원감염관리
Korean Journal of Nosocomial Infection Control
;
: 58-64, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-79196
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the influence of an improved method of endotracheal suction on nosocomial pneumonia (NP) and tracheal colonization by Pseudomonas aeruginosa and Acinetobacter baumannii in intensive care units (ICUs).METHODS:
The study was carried out in both the medical and surgical ICUs of a tertiary-care university hospital; 2,347 patients were admitted in the ICUs from January 2003 to December 2004. The method of endotracheal suction to remove secretions was improved by using a sterile, individually packed catheter and sterile fluid filled in a small container for a single use instead of sterile catheters and fluid packed or filled in large containers for a multiple use. Then, we compared the incidence of NP, the colonization rates of P. aeruginosa and A. baumanni in the respiratory tract, and their carbapenem resistance before and after the intervention.RESULTS:
The incidence of NP (1,000 patient-day rate) was decreased from 4.08 to 2.46 in the SICU and from 1.4 to 0.8 in the MICU after the intervention, but the differences were not significant. The colonization rate by A. baumannii was decreased significantly from 35.7% to 4.6% in the SICU (P<0.001) and from 12.7% to 7.6% in the MICU (P<0.001). The colonization rate by P. aeruginosa was decreased significantly from 17.7% to 7.4% in the SICU (P<0.001), but not in the MICU. There was also a marked decrease in carbapenem resistance, 21% to 8% in P. aeruginosa and 70% to 16% in A. baumannii.CONCLUSION:
Endotracheal suction with a sterile catheter and sterile fluid is important in preventing respiratory infections and colonization by P. aeruginosa and A. baumannii in the ICU.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Pseudomonas
/
Pseudomonas aeruginosa
/
Sistema Respiratorio
/
Infecciones del Sistema Respiratorio
/
Succión
/
Acinetobacter
/
Incidencia
/
Colon
/
Cuidados Críticos
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nosocomial Infection Control
Año:
2007
Tipo del documento:
Artículo
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