Pneumonia associated with the mechanical ventilation in children and adolescents
Keywords:
Key words, child, adolescent, pneumonia, mechanical ventilation, microorganism.Abstract
Introduction: The pneumonia associated with the mechanical ventilation is an infection that is related to the sanitary cares.
Objective: To characterize clinical and epidemiologically children and adolescents with pneumonia associated with the mechanical ventilation, according to selected variables.
Method: A descriptive and cross-sectional study of 36 patients with pneumonia associated with mechanical ventilation admitted in the Intensive Cares Unit of Dr. Juan de la Cruz Martínez Maceira Northern Children Hospital; was carried out in Santiago de Cuba, from January, 2017 to December, 2018.
Results: There was a prevalence of the patients under 5 years (80.6 %), the male sex (66.7 %), the long lasting mechanical ventilation (69.4 %) and pneumonias associated with the ventilation of late appearance related to mortality. The most frequent microorganisms were the Gram negative. The combination of cephalosporins and vancomycin were the most used.
Conclusions: The clinical course of the patients depended on the time of beginning, the predominant microorganism and the antimicrobial treatment used.
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2. Durán Rodríguez R, Rubio Méndez AM, Cobas Sánchez A, Rodríguez Paján N, Castillo Pérez Y. Comportamiento de neumonía asociada a ventilación mecánica en cuidados intensivos de adultos. Rev Inf Cient. 2018 [citado 10/08/2020]; 97 (5). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332018000500911
3. Baster Campaña MM, Frómeta Suárez I. Vigilancia de las infecciones asociadas a la asistencia sanitaria. Rev Cubana Med. 2016 [citado 08/01/2018]; 55 (3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232016000300002
4. Miranda Pedroso R. Neumonía asociada a la ventilación mecánica artificial. Rev Cuba Med Int Emerg. 2019 [citado 22/02/2020]; 18 (3). Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/592/html
5. Melsen WG, Rovers MM, Groenwold RH, Bergmans DC, Camus C, Bauer TT, et al. Attributable mortality of ventilator-associated pneumonia: a meta analysis of individual patient data from ramdomised prevention studies. Lancet Infect Dis. 2013 [citado 10/08/2020]; 13 (8): 665–71.
6. Padilla A. Protocolo de neumonía asociada a la ventilación mecánica (NAVM). 2018 [citado 10/08/2020]. Disponible en: https://serviciofarmaciamanchacentro.es/images/stories/recursos/recursos/protocolo/infecciones/protocolo%20navm.pdf
7. Avalos Payano MP, Chacaltana Guillen XE, Napa Rojas GE. Prácticas preventivas para la neumonía asociada a ventilación mecánica en pacientes en Cuidados Intensivos Callao, Noviembre 2018. Lima: Universidad Peruana Cayetano Heredia; 2018 [citado 10/08/2020]. Disponible en: http://repositorio.upch.edu.pe/bitstream/handle/upch/4998/Practicas_AvalosPayano_Miriam.pdf?sequence=1&isAllowed=y
8. Ambía Alvarado CE. Características clínicas, epidemiológicas, microbiológicas asociadas a mortalidad de neumonía intrahospitalaria en el Hospital San José del Callao durante los años 2012-2017. Lima: Universidad Ricardo Plama; 2018 [citado 24/03/2018]. Disponible en: http://repositorio.urp.edu.pe/bitstream/handle/URP/1300/8CAMB%c3%8dA.pdf?sequence=1&isAllowed=y
9. Abdo Cuza A, Castellanos Gutiérrez R, González Agulera JC, Vázquez Belizón Y, Dorta Rodríguez E, Viera Paz A, et al. Incidencia de infección relacionada con el cuidado sanitario en unidades de cuidados intensivos en Cuba (año 2014). Resultados de la implementación de un paquete de medidas profilácticas. Invest Medicoquir. 2015 [citado 03/04/2017]; 7 (2): 182-202. Disponible en: http://www.revcimeq.sld.cu/index.php/imq/article/view/319
10. Kumar ST, Yassin A, Bhowmick T, Dixit D. Recommendations from the 2016 Guidelines for the Management of Adults With Hospital-Acquired or Ventilator-Associated Pneumonia. P&T. 2017 [citado 03/04/ 2020]; 42 (12): 767-70. Disponible en: https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5720490&blobtype=pdf
11. Alí Munive A, Ortiz Ruiz G, Dueñas Castell C. Consenso colombiano de neumonía nosocomial 2013. Infectio. 2013 [citado 06/06/2018]; 17 (1). Disponible en: https://www.elsevier.es/es-revista-infectio-351-pdf-S0123939213700432
12. Asenjo CA, Pinto RA. Características anátomo - funcional del aparato respiratorio durante la infancia. Revista Médica Clínica Las Condes. 2017 [citado 10/08/2020]; 28 (1) 7-19. Disponible en: https://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-articulo-caracteristicas-anatomo-funcional-del-aparato-respiratorio-S0716864017300020
13. Pezo Galdea MA, Menoscal Tómala KL, García Barreto A. Neumonía asociada a ventilación mecánica en pacientes ingresados en UCI: Etiología y factores de riesgo. RECIMUNDO. 2018 [citado 10/08/2020]; 2 (3). Disponible en: https://www.recimundo.com/index.php/es/article/view/287/pdf
14. Vásquez Gaibor AA, Reinoso Tapia SC, Lliguichuzca Calle MN, Cedeño Caballero JV. Neumonía asociada a ventilación mecánica. RECIMUNDO. 2019 [citado 10/08/2020]; 3 (3). Disponible en: https://recimundo.com/index.php/es/article/view/562/770
15. Montravers P, Harpan A, Guivarch E. Current and future considerations for the treatment of hospital-acquired pneumonia. Adv Ther. 2016 [citado 10/05/2019]; 33 (2): 151–66. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26861846/
16. Martin Loeches I, Coakley JD, Nseir S. Should we treat ventilator-associated tracheobronchitis with antibiotics? Semin Respir Crit Care Med. 2017 [citado 10/05/2019]; 38 (3): 264-70. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28578551/
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