Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey

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Abbasi Farid Golnar; Bagheri Moghaddam Ahmad; BOJDY AMIN

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Journal Paper

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Journal: Archives of Clinical Infectious Diseases Year:2018 | Volume:13 | Issue:4 Page(s): 0-0

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Title

Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey

Author(s)

Abbasi Farid Golnar | Bagheri Moghaddam Ahmad | BOJDY AMIN | Issue Writer Certificate

Keywords

Hospital-Acquired Pneumonia

Ventilator-Associated Pneumonia

Nosocomial Infection

Nosocomial Pneumonia

Intensive Care Unit

Abstract

Background: Hospital-Acquired Pneumonia (HAP) prevalence is related to patients’ population and diagnostic methods. HAP incidence is reported in different studies from 9% to 46%. The current study aimed at evaluating the etiology of HAPin patients admitted to Intensive Care Units (ICUs). Methods: The patients admitted to ICU of Imam Reza hospital (a tertiary care and teaching hospital in Mashhad, Northeast of Iran) were evaluated for HAP based on the following criteria: fever, leukocytosis, purulent discharge, new radiologic findings, changes in O2 saturation, and ventilator setting. Blood and endotracheal aspirates cultures were performed for all patients. Demographic characteristics were recorded in a checklist. Results: Among the 88 adult patients enrolled in the current study, the most frequent radiologic finding was patchy infiltration in chest X-ray (71. 6%). Meanage of the patients was 58 20. 1 years; meanhospital stay was 63 40. 8 days; meaninterval between hospitalization and pneumonia development was 20. 9 16. 8 days; and 41 patients (46. 6%) died. Acinetobacter spp. were the most frequent microorganisms in purulent discharge and methicillin-resistant Staphylococcus aureus (MRSA) were the main bacteria isolated from blood culture. Conclusions: Early diagnosis and appropriate antibiotic therapy can decrease HAP mortality and morbidity. The current study findings revealed that Acinetobacter app. were the most frequent cause of HAP in ICU patients in the studied center, which should be considered at the time of diagnosis and empirical antibiotics administration. Appropriate infection control and preventive measures should also be taken in ICUs to prevent HAP, especially against those caused by Acinetobacter spp.

Cites

Viral Infections in Intensive Care Unit Patients (Review Article)

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APA: Copy

Abbasi Farid, Golnar, Bagheri Moghaddam, Ahmad, & BOJDY, AMIN. (2018). Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey. ARCHIVES OF CLINICAL INFECTIOUS DISEASES, 13(4), 0-0. SID. https://sid.ir/paper/340136/en

Vancouver: Copy

Abbasi Farid Golnar, Bagheri Moghaddam Ahmad, BOJDY AMIN. Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey. ARCHIVES OF CLINICAL INFECTIOUS DISEASES[Internet]. 2018;13(4):0-0. Available from: https://sid.ir/paper/340136/en

IEEE: Copy

Golnar Abbasi Farid, Ahmad Bagheri Moghaddam, and AMIN BOJDY, “Nosocomial Pneumonia in Patients Admitted to the Intensive Care Unit of a Tertiary Care Center in Mashhad, Northeast of Iran; an Etiologic Survey,” ARCHIVES OF CLINICAL INFECTIOUS DISEASES, vol. 13, no. 4, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/340136/en

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