Hospital pneumonia diagnostics and antibacterial therapy features in patients of neurosurgical department
Keywords:hospital pneumonia, diagnosis, antibacterial therapy
Introduction. Hospital pneumonia (HP) is one of the most frequent and dangerous complications of severe neurosurgical diseases. The aim of the study was to investigate HP spread in patients of neurosurgical department of Zhytomyr Regional Clinical Hospital, it’s diagnostics and treatment features.
Materials and methods. 3234 case-records of patients from neurosurgery department treated in 2009–2011 were analyzed.
Results. HP was diagnosed in 60 (1.85%) patients. The analyses of diagnostic criteria and antibacterial therapy in these patients was done.
Conclusions. The duration of hospitalization of patients with HP and their lethality increasing were observed. Often antibacterial therapy is ineffective. It’s necessary to aspire to pathogens identification frequency increasing and etiotropic treatment prescribing.
1. Feshchenko YuÍ, Dzyublik Í,. Símonov SS. Gospítalna (nozokomíalna) pnevmoníya u doroslikh osíb: yetíologíya, patogenez, klasifíkatsíya, díagnostika, antibakteríalna terapíya [Hospital (nosocomial) pneumonia in adults: etiology, pathogenesis, classification, diagnosis, antibiotic therapy]. Zdorovya Ukrayiny. 2012;1(278):35–36. Russian.
2. Rotstein C, Evans G, Born A, Grossman R, Light RB, Magder S, McTaggart B, Weiss K, Zhanel GG. Clinical practice guidelines for hospital-acquired pneumonia and ventilator-associated pneumonia in adults. Can J Infect Dis Med Microbiol. 2008;19(1):19-53. [PubMed]
3. Masterton R, Galloway A, French G et al. Guidelines for the management of hospital-acquired pneumonia in the UK: Report of the Working Party on Hospital-Acquired Pneumonia of the British Society for Antimicrobial Chemotherapy. Journal of Antimicrobial Chemotherapy. 2008;62(1):5-34. [CrossRef] [PubMed]
4. File, Jr. T. Recommendations for Treatment of Hospital‐Acquired and Ventilator‐Associated Pneumonia: Review of Recent International Guidelines. Clinical Infectious Diseases. 2010;51(S1):S42-S47. [CrossRef]
5. Krylov VV, Tsarenko SV, Petrikov SS. Diagnostika, profilaktika i lecheniye gospitalnoy pnevmonii u bolnykh s vnutricherepnymi krovoizliyaniyami, nakhodyashchikhsya v kriticheskom sostoyanii [Hospital pneumonia in patients with intracranial haematomas in critical condition: diagnostics, prophylaxis and management]. Neyrokhirurgiya. 2003;4:45–48. Russian.
6. Zilberberg M, Shorr A, Micek S, Mody S, Kollef M. Antimicrobial therapy escalation and hospital mortality among patients with health-care-associated pneumonia. Chest. 2008;134(5):963-968. [CrossRef] [PubMed]
7. Gnedovskaya YeV, Piradov MA, Ryabinkina YuV. Pnevmonii u bolnykh s tyazhelym insultom [Pneumonia in patients with severe stroke]. Meditsina neotlozh. sostoyaniy. 2010;2(27):9–12. Russian.
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Copyright (c) 2012 Olga Yakovleva, Anastasia Ільченко
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