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Thursday, 10 September 2009 |
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Burgmann H et al
About this article:"In this prospective study authors prospectively performed bronchoalveolar lavages from patients with suspecte VAP. They designed a prediction model of indequate therapy (LIT) according to the drug resistance rates obtained from the MIC measurements of te most common antibiotics used to treat VAP. The best antibiotic for adequate therapy and the worse piperacillin-tazobactam. The prediction ratio used has to be validated in each unit before its clinical use"
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Thursday, 10 September 2009 |
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El Solh A.
About this article:"Ceftobiprole is a new cephalosporine with a potential activity against Enterobacteriaceae, Pseudomonas aeruginosa and MRSA.Clinicians have to be aware that in a phase clinical trial ceftobiprole resulted less effective than comparators for the treatment of ventilator-associated pneumonia. Accordingly, ceftobiprole cannot be used for the empirical treatment of VAP "
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Thursday, 10 September 2009 |
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El-Solh AA et al
About this article:"Pseudomonas aeruginosa is a frequent etiology of ventilator-associated pneumonia associated to high morbidity, mortality and cost. Some studies suggest that type III Pseudomonas aeruginosa is linked to poor outcome. Authors performed serial BAL fluids assaying for MMP8 and 9, tissue inhibitor of metalloproteinase (TIMP-1) and alpha-2 macroglobulin levels. Patients who survived had a lower ratio MMP9/TIMP-1 ratio. Authors conclude that imbalances in this ratio may be related to alveolocapillary-damage and perhaps this may influence the prognosis of VAP caused by Pseudomonas aeruginosa"
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Thursday, 10 September 2009 |
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Grap MJ
About this article:"This a review article on several important elements for the prevention of ventilator-assciated pneumonia. These elements include airway management, back-rest elevation, oral care strategies and sedation protocols. Authors examine the pro and con and the feasibility of these methods."
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Thursday, 10 September 2009 |
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Prendergast V. et al
About this article:"Oral care is an important element for the prevention of VAP. However, and despite this recognition oral care has been regarded as a secondary issue. In this observational study in neurocritically ill patients oral health assesed by Oral Assesment guide worsened importantly after 48 of intubation and improved after extubation. The authors did not observed increases in intracraneal pressure during the procedures of oral care and concluded that oral care can be safely performed in these type of patients"
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Thursday, 10 September 2009 |
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Rangel EL et al
About this article:"Relapsing or recurrent VAP have been studied in previous publication of general populations of critically ill mechanically ventilated patients. However,there is no information on critically ill trauma patients. Indices of severity were not related with recurrence or relapse. Only a primary VAP caused by non-fermeting Gram negative bacilli was associated in the uni and multivariates with VAP relapse or recurrence. It is obvious that these type of patients require a longer clinical and microbiological surveillance to discard relapse or recurrence"
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| Results 81 - 90 of 307 |