Antimicrobial Susceptibility among Pathogens Isolated in Early- versus Late-Onset Ventilator-Associated Pneumonia.

MDR VAP antibiotic therapy causative pathogens

Journal

Infectious disease reports
ISSN: 2036-7430
Titre abrégé: Infect Dis Rep
Pays: Switzerland
ID NLM: 101537203

Informations de publication

Date de publication:
27 Apr 2021
Historique:
received: 18 03 2021
revised: 20 04 2021
accepted: 23 04 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

Ventilator-associated pneumonia (VAP) is associated with increased hospital stay and high morbidity and mortality in critically ill patients. The aims of this study were to (i) determine the incidence of multidrug-resistant (MDR) pathogens in the first episodes of VAP and to assess potential differences in bacterial profiles of subjects with early- versus late-onset VAP. This was a retrospective cohort study over a period of 18 months including all patients who had a first episode of VAP confirmed by positive bacterial culture. Subjects were distributed into two groups according to the number of intubation days: early-onset VAP (<5 days) or late-onset VAP (≥5 days). The primary endpoint was the nature of causative pathogens and their resistance profiles. Sixty patients were included, 29 men and 31 women, with an average age of 38 ± 16 years. The IGS 2 at admission was 40.5 [32-44] and APACHE was 19 [15-22]. Monomicrobial infections were diagnosed in 77% of patients (

Identifiants

pubmed: 33925385
pii: idr13020038
doi: 10.3390/idr13020038
pmc: PMC8167786
doi:

Types de publication

Journal Article

Langues

eng

Pagination

401-410

Subventions

Organisme : Centre d'Assistance Médicale Urgente of Tunis
ID : CAMU

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Auteurs

Hend Ben Lakhal (H)

Service de Reanimation, Centre Hospitalier de Chartres, 4, Rue Claude-Bernard, 28630 Le Coudray, France.
Service de Reanimation, Centre d'Assistance Médicale Urgente (CAMU) de Tunis, 50 Rue Abou Kacem Chebbi, Tunis 1089, Tunisia.

Aymen M'Rad (A)

Service de Reanimation, Centre d'Assistance Médicale Urgente (CAMU) de Tunis, 50 Rue Abou Kacem Chebbi, Tunis 1089, Tunisia.

Thierry Naas (T)

Bacteriology-Hygiene Unit, Assistance Publique/Hôpitaux de Paris, Bicêtre Hospital, 94270 Le Kremlin-Bicêtre, France.
Team ReSIST, INSERM U1184, School of Medicine Université Paris-Saclay, LabEx LERMIT, 94270 Le Kremlin-Bicêtre, France.

Nozha Brahmi (N)

Service de Reanimation, Centre d'Assistance Médicale Urgente (CAMU) de Tunis, 50 Rue Abou Kacem Chebbi, Tunis 1089, Tunisia.

Classifications MeSH