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Frequency, Etiology, Mortality, Cost, and Prevention of Respiratory Tract Infections—Prospective, One Center Study

Duszynska, Wieslawa ; Idziak, Marta ; Smardz, Klaudia ; Burkot, Anna ; Grotowska, Malgorzata ; Rojek, Stanislaw

Journal of clinical medicine, 2022-06, Vol.11 (13), p.3764 [Periódico revisado por pares]

Basel: MDPI AG

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  • Título:
    Frequency, Etiology, Mortality, Cost, and Prevention of Respiratory Tract Infections—Prospective, One Center Study
  • Autor: Duszynska, Wieslawa ; Idziak, Marta ; Smardz, Klaudia ; Burkot, Anna ; Grotowska, Malgorzata ; Rojek, Stanislaw
  • Assuntos: Clinical medicine ; Epidemiology ; length of stay ; Mortality ; non ventilator hospital acquired pneumonia ; Nosocomial infections ; respiratory tract infections ; ventilator associated pneumonia ; ventilator associated tracheobronchitis ; Ventilators
  • É parte de: Journal of clinical medicine, 2022-06, Vol.11 (13), p.3764
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: Background: Ventilator-associated pneumonia (VAP) is the most monitored form of respiratory tract infections (RTIs). A small number of epidemiological studies have monitored community-acquired pneumonia (CAP), non-ventilator hospital-acquired pneumonia (NV-HAP) and ventilator-associated tracheobronchitis (VAT) in intensive care units (ICUs). The objective of this study was to assess the frequency, etiology, mortality, and additional costs of RTIs. Methods: One-year prospective RTI surveillance at a 30-bed ICU. The study assessed the rates and microbiological profiles of CAP, VAP, NV-HAP, VAT, and VAP prevention factors, the impact of VAP and NV-HAP on the length of ICU stays, and the additional costs of RTI treatment and mortality. Results: Among 578 patients, RTIs were found in 30%. The CAP, NV-HAP, VAP, and VAT rates/100 admissions were 5.9, 9.0, 8.65, and 6.05, respectively. The VAP incidence density/1000 MV-days was 10.8. The most common pathogen of RTI was Acinetobacter baumannii MDR. ICU stays were extended by VAP and NV-HAP for 17.8 and 3.7 days, respectively, and these RTIs increased the cost of therapy by 13,029 and 2708 EUR per patient, respectively. The mortality rate was higher by 11.55% in patients with VAP than those without device-associated and healthcare-associated infections (p = 0.0861). Conclusions: RTIs are a serious epidemiological problem in patients who are admitted and treated in ICU, as they may affect one-third of patients. Hospital-acquired RTIs extend hospitalization time, increase the cost of treatment, and worsen outcomes.
  • Editor: Basel: MDPI AG
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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