TY - JOUR
T1 - Suspected ventilator-associated pneumonia in cardiac patients admitted to the coronary care unit
AU - Ensminger, S. Allen
AU - Wright, R. Scott
AU - Baddour, Larry M.
AU - Afessa, Bekele
N1 - Funding Information:
This study was supported by the Department of Medicine, Medicine Innovation and Development System (MIDAS) grant, and the Anesthesia Clinical Research Unit, Department of Anesthesiology, at the Mayo Clinic in Rochester, Minn.
PY - 2006/1
Y1 - 2006/1
N2 - OBJECTIVE: To determine the incidence, risk factors, associated pathogens, and outcome of ventilator-associated pneumonia (VAP) in patients admitted to a coronary care unit (CCU). PATIENTS AND METHODS: This retrospective cohort study was performed in the CCU of a single tertiary medical center. Patients who were admitted to the CCU between March 23, 2002, and May 25, 3003, and who required invasive mechanical ventilation for more than 48 hours were included. RESULTS: Of the 92 patients who met the study criteria, 17 (18.5%; 95% confidence interval, 11.9%-27.6%) developed VAP. The incidence of VAP was 36.3 (95% confidence interval, 21.1-53.1) per 1000 days of mechanical ventilation. There were no statistically significant differences in demographics, presence of chronic obstructive pulmonary disease, or use of continuous intravenous sedatives or neuromuscular blockers between patients with and without VAP. The most commonly isolated organisms were methicillin-sensitive Staphylococcus aureus, Sphingomonas paucimobilis, and Stenotrophomonas maltophilla. The median length of stay in the CCU for patients with VAP was 10 days compared to 6 days for patients without VAP (P<.01). Eight (47%) of the 17 patients with VAP died compared to 29 (39%) of 75 patients without VAP (P=.52). CONCLUSIONS: The incidence of VAP in the CCU is similar to or higher than that reported in other intensive care units. The development of VAP in CCU patients is associated with a prolonged CCU stay but not with an increased hospital mortality.
AB - OBJECTIVE: To determine the incidence, risk factors, associated pathogens, and outcome of ventilator-associated pneumonia (VAP) in patients admitted to a coronary care unit (CCU). PATIENTS AND METHODS: This retrospective cohort study was performed in the CCU of a single tertiary medical center. Patients who were admitted to the CCU between March 23, 2002, and May 25, 3003, and who required invasive mechanical ventilation for more than 48 hours were included. RESULTS: Of the 92 patients who met the study criteria, 17 (18.5%; 95% confidence interval, 11.9%-27.6%) developed VAP. The incidence of VAP was 36.3 (95% confidence interval, 21.1-53.1) per 1000 days of mechanical ventilation. There were no statistically significant differences in demographics, presence of chronic obstructive pulmonary disease, or use of continuous intravenous sedatives or neuromuscular blockers between patients with and without VAP. The most commonly isolated organisms were methicillin-sensitive Staphylococcus aureus, Sphingomonas paucimobilis, and Stenotrophomonas maltophilla. The median length of stay in the CCU for patients with VAP was 10 days compared to 6 days for patients without VAP (P<.01). Eight (47%) of the 17 patients with VAP died compared to 29 (39%) of 75 patients without VAP (P=.52). CONCLUSIONS: The incidence of VAP in the CCU is similar to or higher than that reported in other intensive care units. The development of VAP in CCU patients is associated with a prolonged CCU stay but not with an increased hospital mortality.
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U2 - 10.4065/81.1.32
DO - 10.4065/81.1.32
M3 - Article
C2 - 16438476
AN - SCOPUS:30144438027
SN - 0025-6196
VL - 81
SP - 32
EP - 35
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 1
ER -