Abstract

CUZA, Anselmo Abdo  and  DINUCIS et al. Incidence and consequences of tracheobronchitis associated with ventilator in ICUs. Rev cubana med [online]. 2013, vol.52, n.1, pp. 14-24. ISSN 0034-7523.

Introduction: lower respiratory infections rank first among related infections in health care intensive care units. Objectives: to describe the incidence and consequences of stay and mortality of ventilator-associated tracheobronchitis (TAVM) in ICU. Methods: a multicenter, descriptive, prospective and cross-sectional study was conducted in 6 adult ICU. 454 patients were studied. The study variables were collected in two databases. Results: TAVM incidence rate: 1.76 %, relative to the total number of patients with risk factor: 6.06 %. Incidence density: 7.61 % by 1000 d with risk factor. Average stay, TAVM: 13.13 d, patients without IRCS: 5.49 d (p = 0.006). Mortality, TAVM: 25 %, VAP: 55.2 %, patients without IRCS: 14.9 % (p = 0.000). Conclusions: TAVM is not uncommon in ICU. Its diagnosis involves increased stay and its mortality in ventilated patients. The implementation of surveillance and prevention measures is requiered.

Keywords : nosocomial infection; hospital infections; health care-related infection; ICU; ventilator-associated tracheobronchitis; ventilator-associated pneumonia; mortality.

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