INCIDENCE OF VENTILATOR - ASSOCIATED PNEUMONIA IN JEJUNOSTOMY FED PATIENTS COMPARED WITH NASOGASTRIC TUBE FED PATIENTS

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NAJAFI A.; YOUSEFSHAHI F.; MOJTAHEDZADEH M.; MOEINI M.; IMANI F.; PANAH KHAHI M.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2006 | Volume:27 | Issue:51 Page(s): 5-14

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Title

INCIDENCE OF VENTILATOR - ASSOCIATED PNEUMONIA IN JEJUNOSTOMY FED PATIENTS COMPARED WITH NASOGASTRIC TUBE FED PATIENTS

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Keywords

VENTILATOR ASSOCIATED PNEUMONIAQ4

NOSOCOMIAL INFECTIONQ4

JEJUNOSTOMYQ4

NASOGATRIC TUBEQ3

ENTERAL FEEDINGQ4

APACHE SCOREQ4

Abstract

Background: Pneumonia is the most frequent NOSOCOMIAL INFECTION, and a major cause of mortality in the ICU patients. Nasogastric tube is a well known risk factor for ventilator -associated pneumonia NAP). As there are only few studies in non-intubated patients that have concentrated in the role of JEJUNOSTOMYin prevention of pneumonia, this study is planned. Material and Methods: In this prospective nonrandomized, open label clinical trial study, the VAP cases who were simultaneously fed entirely (nasogastric tube or JEJUNOSTOMY) are studied. Results: VAP occurred in the 66.7% of patients in nasogastric group and 13.3% of patients in jejunostomy group (sig = 0.002). VAP in nasogastric group was associated with terminal APACHE SCORE of higher than 15 (sig = 0.012) and there was a meaningful correlation between higher terminal APACHE SCORE and mortality (sig = 0.027). On the other hand, in JEJUNOSTOMY group VAP was associated with primary APACHE SCORE of higher than 15 (sig = 0.002). Simultaneous use of nasogastric tube and tracheal tube willincrease occurrence (sig = 0.040) and also the mortality of VAP (sig = 0.015). Conclusion: Nasogastric tube is a risk factor in occurrence of VAPand its replacement by JEJUNOSTOMY will decrease the incidence of VAP significantly. As the nasogastric tube and tracheal tube increase the rate of occurrence of VAP and mortality, the alternative use of the JEJUNOSTOMY together with tracheostomy will decrease the incidence of VAP.

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APA: Copy

NAJAFI, A., YOUSEFSHAHI, F., MOJTAHEDZADEH, M., MOEINI, M., IMANI, F., & PANAH KHAHI, M.. (2006). INCIDENCE OF VENTILATOR - ASSOCIATED PNEUMONIA IN JEJUNOSTOMY FED PATIENTS COMPARED WITH NASOGASTRIC TUBE FED PATIENTS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 27(51), 5-14. SID. https://sid.ir/paper/63459/en

Vancouver: Copy

NAJAFI A., YOUSEFSHAHI F., MOJTAHEDZADEH M., MOEINI M., IMANI F., PANAH KHAHI M.. INCIDENCE OF VENTILATOR - ASSOCIATED PNEUMONIA IN JEJUNOSTOMY FED PATIENTS COMPARED WITH NASOGASTRIC TUBE FED PATIENTS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2006;27(51):5-14. Available from: https://sid.ir/paper/63459/en

IEEE: Copy

A. NAJAFI, F. YOUSEFSHAHI, M. MOJTAHEDZADEH, M. MOEINI, F. IMANI, and M. PANAH KHAHI, “INCIDENCE OF VENTILATOR - ASSOCIATED PNEUMONIA IN JEJUNOSTOMY FED PATIENTS COMPARED WITH NASOGASTRIC TUBE FED PATIENTS,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 27, no. 51, pp. 5–14, 2006, [Online]. Available: https://sid.ir/paper/63459/en

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