Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Epidemiologia e Controle de Infecção |
Texto Completo: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/12869 |
Resumo: | Background and Objectives: To assess the rate and incidence density of ventilator-associated pneumonia and to identify the most common etiological agents in the culture of tracheal secretion in an adult intensive care unit. Methods: Descriptive, cross-sectional, retrospective study with a quantitative approach, carried out from January 1st to December 31st, 2014, based on data on rates and incidence density of ventilator-associated pneumonia and isolated microorganisms found in tracheal secretion culture of patients admitted to the adult intensive care unit in a 12-month period. Results: The mean annual rate of ventilator-associated pneumonia was 5.5% and higher rates were found in the second semester. The mean incidence density was 17.97 ventilator-associated pneumonia/1000 patient-days on mechanical ventilation. Nine microorganisms isolated from tracheal secretion culture were identified. The most prevalent pathogens identified in this study were Klebsiella pneumoniae and Pseudomonas aeruginosa. Conclusion: The rate and incidence density of ventilator-associated pneumonia showed a non-expected increase each month for 3 months in a row during the study period. Real time surveillance and incidence oscillation must be valued to adjust sectoral strategies to protect the health of individuals undergoing treatment. |
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Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São PauloIncidencia de neumonía asociada a la ventilación mecánica y los agentes etiológicos más prevalentes en una unidad de terapia intensiva en el interior de São PauloIncidência de pneumonia associada à ventilação mecânica e os agentes etiológicos mais prevalentes em uma unidade de terapia intensiva no interior de São PauloInfecções respiratórias. Respiração Artificial. Pneumonia. Controle de Infecção. Epidemiologia.Respiratory Tract Infections. Respirationartificial. Pneumonia. Infection Control. Epidemiology.Infecciones del sistema respiratorio. Respiración artificial. Neumonía. Control de infecciones. Epidemiologia.Background and Objectives: To assess the rate and incidence density of ventilator-associated pneumonia and to identify the most common etiological agents in the culture of tracheal secretion in an adult intensive care unit. Methods: Descriptive, cross-sectional, retrospective study with a quantitative approach, carried out from January 1st to December 31st, 2014, based on data on rates and incidence density of ventilator-associated pneumonia and isolated microorganisms found in tracheal secretion culture of patients admitted to the adult intensive care unit in a 12-month period. Results: The mean annual rate of ventilator-associated pneumonia was 5.5% and higher rates were found in the second semester. The mean incidence density was 17.97 ventilator-associated pneumonia/1000 patient-days on mechanical ventilation. Nine microorganisms isolated from tracheal secretion culture were identified. The most prevalent pathogens identified in this study were Klebsiella pneumoniae and Pseudomonas aeruginosa. Conclusion: The rate and incidence density of ventilator-associated pneumonia showed a non-expected increase each month for 3 months in a row during the study period. Real time surveillance and incidence oscillation must be valued to adjust sectoral strategies to protect the health of individuals undergoing treatment.Justificación y Objetivos: Analizar tasa y densidad de incidencia de la neumonía asociada a la ventilación mecánica y los agentes etiológicos más prevalentes en el cultivo de secreción traqueal en una unidad de terapia intensiva para adultos. Métodos: Estudio descriptivo, transversal, retrospectivo y enfoque cuantitativo, realizado del 1 de enero al 31 de diciembre de 2014, basado en datos sobre las tasas de incidencia y densidad de neumonía asociada a la ventilación mecánica y a los microorganismos aislados en cultivo de secreción traqueal de pacientes internados en la Unidad de Terapia Intensiva para adultos en un período de 12 meses. Resultados: La tasa anual de neumonía asociada a la ventilación mecánica tuvo un promedio de 5,5%, las tasas más altas fueron con aumento progresivo en el segundo semestre. El valor promedio de la densidad de incidencia de neumonía asociada a la ventilación mecánica fue de 17,97/1000 pacientes-día en ventilación mecánica. Se identificaron nueve microorganismos aislados en los cultivos de secreción traqueal. Los patógenos más prevalentes identificados en este estudio fueron Klebsiella pneumoniae y Pseudomonas aeruginosa. Conclusiones: La tasa y la densidad de incidencia de la neumonía asociada a la ventilación mecánica mostró un aumento inesperado en tres meses consecutivos en el período de estudio, la vigilancia en tiempo real y la detección de oscilaciones de la incidencia de infección deben valorarse para los ajustes en las estrategias sectoriales deberán ser ajustadas para promover la protección a la salud de los individuos en tratamiento.Justificativa e Objetivos: Analisar taxa e densidade de incidência da pneumonia associada à ventilação mecânica e os agentes etiológicos mais prevalentes na cultura de secreção traqueal em uma unidade de terapia intensiva adulto. Métodos: Estudo transversal e retrospectivo, com dados referentes às taxas e densidade de incidência da pneumonia associada à ventilação mecânica e aos micro-organismos isolados em cultura de secreção traqueal de pacientes internados na unidade de terapia intensiva adulto em um período de 12 meses. Resultados: A taxa anual da pneumonia associada à ventilação mecânica teve uma média de 5,5%, com aumento progressivo nos meses do segundo semestre. O valor médio da densidade de incidência encontrado foi de 17,97 pneumonia associada à ventilação mecânica/1000 pacientes-dia em ventilação mecânica. Foram identificados nove micro-organismos isolados nas culturas de secreção traqueal. Os patógenos mais prevalentes identificados neste estudo foram Klebsiella pneumoniae e Pseudomonas aeruginosa. Conclusão: A taxa e a densidade de incidência da pneumonia associada à ventilação mecânica estavam próximas ao indicado pela literatura e a prevalência dos patógenos semelhante a outros estudos. Entretanto, estratégias setoriais deverão ser ajustadas para promover a proteção à saúde dos indivíduos em tratamento.Unisc2019-10-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1286910.17058/reci.v9i3.12869Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 3 (2019)Revista de Epidemiologia e Controle de Infecção; v. 9 n. 3 (2019)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/12869/8391Copyright (c) 2019 Laura Cardoso Brentini, Eduardo César Silva Araújo, Thais Haddad Silveira, Nádia Bruna da Silva Negrinho, Maria Auxiliadora Mancilha Pedigone, Marisa Afonso Andrade Brunherottiinfo:eu-repo/semantics/openAccessBrentini, Laura CardosoAraújo, Eduardo César SilvaSilveira, Thais HaddadNegrinho, Nádia Bruna da SilvaPedigone, Maria Auxiliadora MancilhaBrunherotti, Marisa Afonso Andrade2020-08-25T17:23:29Zoai:ojs.online.unisc.br:article/12869Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2020-08-25T17:23:29Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo Incidencia de neumonía asociada a la ventilación mecánica y los agentes etiológicos más prevalentes en una unidad de terapia intensiva en el interior de São Paulo Incidência de pneumonia associada à ventilação mecânica e os agentes etiológicos mais prevalentes em uma unidade de terapia intensiva no interior de São Paulo |
title |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo |
spellingShingle |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo Brentini, Laura Cardoso Infecções respiratórias. Respiração Artificial. Pneumonia. Controle de Infecção. Epidemiologia. Respiratory Tract Infections. Respiration artificial. Pneumonia. Infection Control. Epidemiology. Infecciones del sistema respiratorio. Respiración artificial. Neumonía. Control de infecciones. Epidemiologia. |
title_short |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo |
title_full |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo |
title_fullStr |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo |
title_full_unstemmed |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo |
title_sort |
Incidence of mechanical ventilator-associated pneumonia and the most prevalent etiological agents in an intensive care unit in the interior of São Paulo |
author |
Brentini, Laura Cardoso |
author_facet |
Brentini, Laura Cardoso Araújo, Eduardo César Silva Silveira, Thais Haddad Negrinho, Nádia Bruna da Silva Pedigone, Maria Auxiliadora Mancilha Brunherotti, Marisa Afonso Andrade |
author_role |
author |
author2 |
Araújo, Eduardo César Silva Silveira, Thais Haddad Negrinho, Nádia Bruna da Silva Pedigone, Maria Auxiliadora Mancilha Brunherotti, Marisa Afonso Andrade |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Brentini, Laura Cardoso Araújo, Eduardo César Silva Silveira, Thais Haddad Negrinho, Nádia Bruna da Silva Pedigone, Maria Auxiliadora Mancilha Brunherotti, Marisa Afonso Andrade |
dc.subject.por.fl_str_mv |
Infecções respiratórias. Respiração Artificial. Pneumonia. Controle de Infecção. Epidemiologia. Respiratory Tract Infections. Respiration artificial. Pneumonia. Infection Control. Epidemiology. Infecciones del sistema respiratorio. Respiración artificial. Neumonía. Control de infecciones. Epidemiologia. |
topic |
Infecções respiratórias. Respiração Artificial. Pneumonia. Controle de Infecção. Epidemiologia. Respiratory Tract Infections. Respiration artificial. Pneumonia. Infection Control. Epidemiology. Infecciones del sistema respiratorio. Respiración artificial. Neumonía. Control de infecciones. Epidemiologia. |
description |
Background and Objectives: To assess the rate and incidence density of ventilator-associated pneumonia and to identify the most common etiological agents in the culture of tracheal secretion in an adult intensive care unit. Methods: Descriptive, cross-sectional, retrospective study with a quantitative approach, carried out from January 1st to December 31st, 2014, based on data on rates and incidence density of ventilator-associated pneumonia and isolated microorganisms found in tracheal secretion culture of patients admitted to the adult intensive care unit in a 12-month period. Results: The mean annual rate of ventilator-associated pneumonia was 5.5% and higher rates were found in the second semester. The mean incidence density was 17.97 ventilator-associated pneumonia/1000 patient-days on mechanical ventilation. Nine microorganisms isolated from tracheal secretion culture were identified. The most prevalent pathogens identified in this study were Klebsiella pneumoniae and Pseudomonas aeruginosa. Conclusion: The rate and incidence density of ventilator-associated pneumonia showed a non-expected increase each month for 3 months in a row during the study period. Real time surveillance and incidence oscillation must be valued to adjust sectoral strategies to protect the health of individuals undergoing treatment. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/12869 10.17058/reci.v9i3.12869 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/12869 |
identifier_str_mv |
10.17058/reci.v9i3.12869 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/12869/8391 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Unisc |
publisher.none.fl_str_mv |
Unisc |
dc.source.none.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 3 (2019) Revista de Epidemiologia e Controle de Infecção; v. 9 n. 3 (2019) 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218811326005248 |