I read with interest the systematic review “Oral care and nosocomial pneumonia: a systematic review” published in einstein (São Paulo),(1) which describes evidences of an association between oral care and reduction in the incidence of nosocomial pneumonia. I would like to express some concerns about the study. First, the search strategy used was not reported, therefore the search strategy did n...

a Unidad de Cuidados Intensivos Respiratorios, Hospital Clínic Universitari, Valencia, Spain b Neumología, Hospital Universitario La Princesa, Universidad Autónoma de Madrid, Madrid, Spain c Pulmonary/Critical Care Medicine, South Texas Veterans Health Care System, Audie L. Murphy Division; University of Texas Health Science Center at San Antonio, San Antonio, TX, USA d Unidad de Vigilancia Int...

The management of nosocomial pneumonia has been an object of intensive investigation during the previous two decades. Up to now some important aspects have been clarified. Firstly the recognition that early and late onset pneumonia represent two separate entities with important differences in epidemiology, risk factors, and prognosis has been established. Secondly, the role of antibiotics has b...

BACKGROUND Guidelines for the management of adults with hospital-acquired (HAP), ventilator-associated (VAP), and healthcare-associated (HCAP) pneumonia were recently updated. These evidence-based guidelines emphasize early, appropriate antimicrobials, as well as, de-escalation of initial therapy based upon microbiologic cultures and clinical response of the patient, and to shorten duration of ...

339. An International, Multicenter, Retrospective Study of Nosocomial Pneumonia due to Pseudomonas aeruginosa Scott Micek, PharmD; Richard Wunderink, MD; Catherine Chen, MD; Jean E. Chastre, MD; Marin Kollef, MD; Pharmacy Practice, St. Louis College of Pharmacy, St. Louis, MO; Northwestern University Feinberg School of Medicine, Chicago, IL; Washington University School of Medicine, St. Louis, ...

OBJECTIVES In the intensive care setting, Acinetobacter baumannii causes ventilator-associated pneumonia and other nosocomial infections that are difficult to treat. Objective of this study was to investigate nosocomial A. baumannii infections and its changing antibiotic resistance. METHODS A total of 56 patients diagnosed with A.baumannii infections between January 2009 and December 2011 wer...

BACKGROUND Antibiotic resistance continues to rise due to the increased number of antibiotic prescriptions and is now a major threat to public health. In particular, there is an increase in antibiotic resistance to Escherichia coli according to the latest reports. TRIAL DESIGN This article examines, retrospectively, antibiotic resistance in patients with community- and nosocomial-acquired pne...

INTRODUCTION Herpes simplex virus (HSV) type 1 was identified in respiratory specimens from a cluster of eight patients on a surgical intensive care unit within 8 weeks. Six of these patients suffered from HSV-related tracheobronchitis and one from HSV-related pneumonia only. Our outbreak investigation aimed to determine the clinical relevance of and risk factors associated with HSV-related tra...

OBJECTIVE Comparison of routine hospital indicators (consults at the Emergency Room (ER) and hospital admissions) during the 2009 pandemic of the influenza AH1N1 virus at the national referral hospital for respiratory diseases in Mexico City. MATERIAL AND METHODS The outbreak was from April to mid-May 2009 and two control periods were used:2009 (before and after the outbreak),and during April...

INTRODUCTION Nosocomial pneumonia in relation to tracheotomy is a well-known complication. The aim of the present study was to study prophylactic antibiotics at the time of tracheotomy as a protective factor against nosocomial pneumonia. METHODS A retrospective follow-up study was conducted on otorhinolaryngeal cancer patients requiring a surgical tracheotomy over a four-year period. Data wer...