Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 16 februarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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TREATMENT OF NOSOCOMIAL PNEUMONIAS
Ioana Grigoraş
Intensive Care Units, St. Spiridon University Hospital
“Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania
Jurnalul de chirurgie 2011; 7 (3): 476-480
Full text:
Format PDF (Română/Romanian)

Abstract:

Nosocomial pneumonia (NP) occurs in 9-27% of intubated patients. Currently defined three types of pneumonia: HAP= hospital acquired pneumonia; VAP = ventilator associated pneumonia; HCAP = health care associated pneumonia. Pneumonia is a very common nosocomial infection in intensive care units, especially in mechanically ventilated patients (90%). Estimated 3% per day increased risk during first 5 days of ventilation and mortality to critical patient is 30 -70%. Mortality and frequency of NP require specific guidelines. Antibiotherapy should not be postponed (especially when there are risk factors); appropriate initial therapy reduces mortality. Empirical therapy recommended is: antipseudomonas cephalosporins / carbapenems/ β-lactams/ β-lactamase inhibitor PLUS fluoroquinolones antipseudomonas / aminoglicozide PLUS Linezolid / vancomycin. Linezolid is considered the first choice of treatment in pulmonary infections with gram-positive clinical results due to lung and upper penetrability of glycopeptides.

KEY WORDS: NOSOCOMIAL PNEUMONIAS, HAP, VAP, HCAP, ANTIBIOTHERAPY, LINEZOLID

Correspondence to: Ioana Grigoraş, MD, PhD, Intensive Care Units, St. Spiridon University Hospital, str. Independenţei no 1, 700111



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.