Algorithm for the diagnosis and treatment of pneumonia associated with artificial mechanical ventilation
Abstract
Introduction: pneumonia associated with mechanical ventilation is a topical issue due to its frequency, severity and its etiological and therapeutic implications.
Objective: to evaluate the results of the application of an algorithm for the diagnosis and treatment of pneumonia associated with mechanical ventilation in the Intensive Care Unit of the General Provincial Teaching Hospital "Dr. Antonio Luaces Iraola" from Ciego de Ávila province.
Method: a pre-experimental study was carried out in the General Provincial Teaching Hospital "Dr. Antonio Luaces Iraola" in Ciego de Ávila province, from April 2012 to December 2014 in 15 patients ventilated according to the criteria of the American Thoracic Society. Data were obtained from the clinical records.
Results: the frequency of occurrence of pneumonia associated with ventilation during the study period was 11,7 %, similar frequencies were found for both sexes, with a higher incidence in the age group of 41 to 50 years. The previous use of antibiotics and the prophylaxis of digestive bleeding were the main risk factors found in these patients. The pneumonia associated with late-onset ventilation was diagnosed more frequently. The most frequently isolated germ was Acinetobacter, in patients with late pneumonia. The patients with adherence to the algorithm had greater survival at discharge than those in whom there was no adherence to it.
Conclusions: adherence to the proposed algorithm improves the survival of patients.Downloads
Published
How to Cite
Issue
Section
License
MediCiego does not apply publication charges. The journal is available in open access without restrictions, in compliance with the international policy on open access to information for the exchange of global knowledge.
The authors will retain their copyright and guarantee the journal the right of first publication of their work. MediCiego is licensed under the Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/deed.es_ES), so it is allowed to copy, reproduce, distribute, publicly communicate the work and generate derivative works, as long as the original author is cited and acknowledged. However, it is not allowed to use the original work for commercial or lucrative purposes.
Authors must sign a copyright agreement through an affidavit of authorship and originality, before publishing.
The authors authorize the publication of their writings; they retain the copyright, and assign to the journal all the rights protected by the Copyright Law that governs Cuba, and implies the edition to disseminate the work.
Likewise, they may establish additional agreements for the non-exclusive distribution of the version of the work published in the journal (for example, placing it in an institutional repository or publishing it in a book), with the recognition of having been first published in this journal.
Declaration of authorship: download here the Affidavit
