Featured Research

from universities, journals, and other organizations

Ventilators Biggest Risk Factor For Pneumonia After Heart Surgery, Study Finds

Date:
May 6, 2009
Source:
Critical Care
Summary:
Ventilator-associated pneumonia is the main cause of nosocomial infection in patients undergoing major heart surgery. An international study of 25 hospitals from 8 European countries has confirmed the degree of danger posed by VAP and identified the main risk factors.

Ventilator-associated pneumonia (VAP) is the main cause of nosocomial infection in patients undergoing major heart surgery. An international study of 25 hospitals from 8 European countries has confirmed the degree of danger posed by VAP and identified the main risk factors.

Javier Hortal, from the Hospital General Universitario Gregorio Maraρσn, worked with the European Study Group on Nosocomial Infections (ESGNI) and the European Workgroup of Cardiothoracic Intensivists (EWCI) to carry out a prospective study of 971 patients undergoing major heart surgery. They found that 4.4% acquired some form of nosocomial infection and VAP accounted for almost half of these (2.1%). According to Hortal, "The crude mortality rate of patients with VAP in our study was found to be 35%, this is significantly more than the mortality rate of 2.3% seen in patients who avoided VAP. The overall mortality rate for VAP in patients undergoing MHS may be as high as 16-57%, but many critically ill patients with VAP die because of their underlying disease rather than of pneumonia, which makes analysis difficult."

The authors found that, apart from the amount of time spent on mechanical ventilation, other risk factors for the development of VAP included transfusion requirements, type of surgery and the need for re-intervention for haemorrhage or cardiac tamponade in the immediate postoperative period. Hortal said, "Most unfortunately, the majority of the variables that significantly predict VAP are not amenable to intervention."

The authors recommend that anticipative or pre-emptive antimicrobial therapy should be explored as one of the few potential interventions to avoid VAP in patients remaining under mechanical ventilation for more than 48 hours.


Story Source:

The above story is based on materials provided by Critical Care. Note: Materials may be edited for content and length.


Journal Reference:

  1. Javier Hortal, Patricia Muρoz, Gregorio P Cuerpo, Hιctor Litvan, Peter M Rosseel, Emilio Bouza, the European Study Group on Nosocomial Infections and the European Workgroup of Cardiothoracic Intensivists. Ventilator-associated pneumonia in patients undergoing major heart surgery: an incidence study in Europe. Critical Care, (in press)

Cite This Page:

Critical Care. "Ventilators Biggest Risk Factor For Pneumonia After Heart Surgery, Study Finds." ScienceDaily. ScienceDaily, 6 May 2009. <www.sciencedaily.com/releases/2009/04/090429205601.htm>.
Critical Care. (2009, May 6). Ventilators Biggest Risk Factor For Pneumonia After Heart Surgery, Study Finds. ScienceDaily. Retrieved September 15, 2014 from www.sciencedaily.com/releases/2009/04/090429205601.htm
Critical Care. "Ventilators Biggest Risk Factor For Pneumonia After Heart Surgery, Study Finds." ScienceDaily. www.sciencedaily.com/releases/2009/04/090429205601.htm (accessed September 15, 2014).

Share This



More Health & Medicine News

Monday, September 15, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

EU Ministers and Experts Meet to Discuss Ebola Reponse

EU Ministers and Experts Meet to Discuss Ebola Reponse

AFP (Sep. 15, 2014) — The European Commission met on Monday to coordinate aid that the EU can offer to African countries affected by the Ebola outbreak. Duration: 00:58 Video provided by AFP
Powered by NewsLook.com
Despite The Risks, Antibiotics Still Overprescribed For Kids

Despite The Risks, Antibiotics Still Overprescribed For Kids

Newsy (Sep. 15, 2014) — A new study finds children are prescribed antibiotics twice as often as is necessary. Video provided by Newsy
Powered by NewsLook.com
FDA Eyes Skin Shocks Used at Mass. School

FDA Eyes Skin Shocks Used at Mass. School

AP (Sep. 15, 2014) — The FDA is considering whether to ban devices used by the Judge Rotenberg Educational Center in Canton, Massachusetts, the only place in the country known to use electrical skin shocks as aversive conditioning for aggressive patients. (Sept. 15) Video provided by AP
Powered by NewsLook.com
Respiratory Virus Spreads To Northeast, Now In 21 States

Respiratory Virus Spreads To Northeast, Now In 21 States

Newsy (Sep. 14, 2014) — The respiratory virus Enterovirus D68, which targets children, has spread from the Midwest to 21 states. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins