2019
DOI: 10.3892/etm.2019.7614
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Laryngoscope‑assisted and cotton ball wiping methods in prevention of oral and pulmonary infection in patients receiving mechanical ventilation and the influence on hypersensitive C‑reactive protein and procalcitonin

Abstract: Effects of laryngoscope-assisted and cotton ball wiping methods on the prevention of oral and pulmonary infection in patients receiving mechanical ventilation were compared to explore the influence of the two methods on high-sensitivity C-reactive protein (hs-CRP) and procalcitonin (PCT). In total, 152 patients who underwent mechanical ventilation in the ICU of Beijing Jishuitan Hospital from May 2005 to January 2018 were assigned and equally divided into two groups: 76 patients who had their oropharynxes scru… Show more

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Cited by 8 publications
(8 citation statements)
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“…As an inflammatory marker, it is easy to detect and has high accuracy. It is widely used in the diagnosis and prognosis of patients with acute bacterial infection [ 17 , 18 ]. Therefore, in view of the time-consuming bacterial culture, the advantages of rapid identification of PCT and CRP can be used to quickly identify the types of ARTI before the culture results are obtained, so as to provide meaningful reference data for clinical practice.…”
Section: Discussionmentioning
confidence: 99%
“…As an inflammatory marker, it is easy to detect and has high accuracy. It is widely used in the diagnosis and prognosis of patients with acute bacterial infection [ 17 , 18 ]. Therefore, in view of the time-consuming bacterial culture, the advantages of rapid identification of PCT and CRP can be used to quickly identify the types of ARTI before the culture results are obtained, so as to provide meaningful reference data for clinical practice.…”
Section: Discussionmentioning
confidence: 99%
“…The high infection rate among patients who undergo surgical treatment for orthopedic problems could be attributed to multiple factors. First is that fractures are associated with stress which results in the expression of a variety of inflammatory mediators, thereby suppressing the patients’ immunity and increasing the likelihood of respiratory infections [ 14 , 15 ]. At the same time, the majority of patients with hip fractures are old and already have many underlying conditions compromising their immune and physical condition [ 16 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, fever, cough, and dyspnea are common features in any type of pneumonia, which would explain the high prevalence of interstitial pneumonia on CT scan in an orthopedic ward. As a matter of fact, it should be considered that postoperative pneumonia in patients operated for femoral fracture occurs in about 4.9% of cases [ 14 ], probably due to the inflammatory stress that depresses the immune system [ 15 ].…”
Section: Discussionmentioning
confidence: 99%
“…The other three deaths occurred at first, seventh, and 20th days from surgical procedure. This variability does not allow to establish whether surgical procedure was significant to influence the prognosis, but according to the results of this study (Table 5 ), surgical procedure may represent a risk factor for COVID-19 infection to become symptomatic, by depressing the immune system [ 15 ]. Deceased patients had several risk factors of poor outcome including age, type of fracture, and multiple comorbidities [ 12 ].…”
Section: Discussionmentioning
confidence: 99%