Intracerebral Hemorrhage in Critically Ill Patients Admitted in a General Icu of a Hospital Without Neurosurgical Service

Estella, Ángel; Armenteros, T Rico; Franco, M.; Guijo, P; Ruiz, L Fernández; Núñez, María Recuerda

doi:10.1186/2197-425x-3-s1-a982

Cited by 1 publication

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“…A great advantage is the direct view of the bronchial tree, which allows us, in addition to sampling, to evaluate the state of the bronchial mucosa, assess lesions, and to detect bleeding or lesions of a non-infectious nature. In expert hands, it is a safe procedure with hardly any complications [33,34], reinforces the clinician's confidence in the use of antibiotics, and reduces overdiagnosis of pneumonia by avoiding misinterpretation of proximal airway colonization. From the microbiological point of view, in the absence of previous antimicrobial therapy, it has a high negative predictive value to consider other foci in the suspicion of infectious complications, and the sample is of greater value and allows a more accurate diagnosis that includes non-culture-dependent techniques (galactomannan, beta-D-glucan, etc.).…”

Section: Importance Of Respiratory Sample Quality For the Diagnosis O...mentioning

confidence: 88%

Ten Issues to Update in Nosocomial or Hospital-Acquired Pneumonia: An Expert Review

Candel,

Salavert,

Estella

et al. 2023

JCM

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Nosocomial pneumonia, or hospital-acquired pneumonia (HAP), and ventilator-associated pneumonia (VAP) are important health problems worldwide, with both being associated with substantial morbidity and mortality. HAP is currently the main cause of death from nosocomial infection in critically ill patients. Although guidelines for the approach to this infection model are widely implemented in international health systems and clinical teams, information continually emerges that generates debate or requires updating in its management. This scientific manuscript, written by a multidisciplinary team of specialists, reviews the most important issues in the approach to this important infectious respiratory syndrome, and it updates various topics, such as a renewed etiological perspective for updating the use of new molecular platforms or imaging techniques, including the microbiological diagnostic stewardship in different clinical settings and using appropriate rapid techniques on invasive respiratory specimens. It also reviews both Intensive Care Unit admission criteria and those of clinical stability to discharge, as well as those of therapeutic failure and rescue treatment options. An update on antibiotic therapy in the context of bacterial multiresistance, in aerosol inhaled treatment options, oxygen therapy, or ventilatory support, is presented. It also analyzes the out-of-hospital management of nosocomial pneumonia requiring complete antibiotic therapy externally on an outpatient basis, as well as the main factors for readmission and an approach to management in the emergency department. Finally, the main strategies for prevention and prophylactic measures, many of them still controversial, on fragile and vulnerable hosts are reviewed.

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Section: Importance Of Respiratory Sample Quality For the Diagnosis O...mentioning

confidence: 88%

Ten Issues to Update in Nosocomial or Hospital-Acquired Pneumonia: An Expert Review

Candel,

Salavert,

Estella

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

Intracerebral Hemorrhage in Critically Ill Patients Admitted in a General Icu of a Hospital Without Neurosurgical Service

Cited by 1 publication

References 0 publications

Ten Issues to Update in Nosocomial or Hospital-Acquired Pneumonia: An Expert Review

Ten Issues to Update in Nosocomial or Hospital-Acquired Pneumonia: An Expert Review

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