The effect of tracheotomy on ventilator-associated pneumonia rate in children

Topal, Sevgi; Demir, Emine; Atakul, Gülhan; Çolak, Mustafa; Soydan, Ekin; Karaarslan, Utku; Yaşar, Nevbahar; Kıymet, Elif; Devrim, İlker; Ağın, Hasan

doi:10.1016/j.ijporl.2020.109898

Cited by 5 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mechanical ventilation is the keystone of the treatment of serious patients and patients in the PICU. This system has its peculiarhazards and complications [1][2] . One of these complications is the possibility of developing ventilatorassociated pneumonia (VAP) 3 .…”

Section: Introductionmentioning

confidence: 99%

Mortality Rate and Causing Factors in Ventilator Associated Pneumonia in Children

Farrukh¹,

Naseer²,

Masood³

et al. 2021

PJMHS

View full text Add to dashboard Cite

Aim: To estimate the incidence of ventilator-associated pneumonia (VAP) and to identify causing microbiological organismsand VAP related mortality rate in children admitted to the ICU. Study design: This was a Cross-sectional and an observational study. Study place and duration: In the Pediatric department of Abbasi Shaheed Hospital, Karachi, for one-year duration from May 2020 to May 2021. Methodology: All admitted children to the pediatric ICU (PICU) and ventilated were selected and observed for any features suggestive of VAP. All suspected children have Partial septic signs. A VAP will be categorized ifchild remains on ventilator for more than 48 hours and when a patient had 2 of these signs of nosocomial infection - TLC <4,000 or> 15,000 mm3 , fever> 101 ° F, CRP> 48 mg / L, neutrophils> 85% or a new chest X-rayexhibited pneumonia withradiological sign of progressive, persistent or new infiltrates. The chi-square test was used for comparison of percentages with a value of Less than 0.05 p. Results: Of all the cases admitted, the average length of ICU stay was 8.65 ± 6.45 per day. Children who needed VAP required 14.2 ±9.5 days of ventilation and 7.5± 5.2 days for children who have not VAP progression. Of 100 cohort of children necessitating ventilation, 22 died and 2 were left without advice or serious illness, with a total mortality of 22%. Conclusion: The VAP incidence in this study was 22%. Features related with a higher incidence of ventilator-associated pneumonia include age <1-year, continuous intravenous sedation and unplanned intubation in emergency situation. Features suggestive of underlying VAP encompassed, CRP> 48 mg / L, purulent tracheal secretions, positive tracheal culture of aspirate and positive X-ray results. Key words: Ventilator-associated pneumonia (VAP), Nosocomial infections,PICU and Children.

show abstract

Section: Introductionmentioning

confidence: 99%

Mortality Rate and Causing Factors in Ventilator Associated Pneumonia in Children

Farrukh¹,

Naseer²,

Masood³

et al. 2021

PJMHS

View full text Add to dashboard Cite

show abstract

“…According to previous reports, the incidence of complications of tracheotomy ranges from 5% to 57.9% [5,6], the tracheotomy-related complications seriously affecting the prognosis of patients and even lifethreatening [7]. As many countries developing into aging society, the incidence of cerebrovascular diseases has increased year by year, and the number of patients with long-term tracheostomy has increased accordingly [8]. The tracheotomy needs long-term nursing care, and the most important rehabilitation place for most patients with craniocerebral injury is at home [9].…”

Section: Introductionmentioning

confidence: 99%

The pattern of hospital-community-home (HCH) nursing in tracheostomy patients with severe traumatic brain injury: is it feasible?

Yin¹,

Wu²,

Zhou³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Tracheostomy is very common in patients with severe traumatic brain injury (TBI), and long-term nursing care are needed for those patients. We aimed to evaluate the effects of hospital-community-home (HCH) nursing in those patients. Methods: Tracheostomy patients with severe TBI needing long-term care were included. All patients underwent two months long follow-up. Glasgow coma score (GCS), Karnofsky, Self-Anxiety Scale (SAS) (SAS) and Barthel assessment at the discharge and two months after discharge were evaluated. The tracheostomy related complications were recorded and compared.Results: A total of 60 patients were included. There weren’t significant differences between two groups in the GCS, Karnofsky, SAS and Barthel index at discharge((all p>0.05), the GCS, Karnofsky and Barthel index was all significantly increased after two months follow-up for two groups (all p<0.05), and the GCS, Karnofsky and Barthel index at two months follow-up in HCH group was significantly higher than that of control group(all p<0.05), but the SAS at two months follow-up in HCH group was significantly less than that of control group(p=0.009). The incidence of block of artificial tracheal cannula and readmission in HCH group were significant less than that of control group (all p<0.05).Conclusion: HCH nursing care is feasible in tracheostomy patients with severe TBI, future studies are needed to further evaluate the role of HCH nursing care.

show abstract

“…According to previous reports, the incidence of complications of tracheotomy ranges from 5-57.9% [5,6], the tracheotomy-related complications seriously affecting the prognosis of patients and even lifethreatening [7]. As many countries developing into aging society, the incidence of cerebrovascular diseases has increased year by year, and the number of patients with long-term tracheostomy has increased accordingly [8]. The tracheotomy needs long-term nursing care, and the most important rehabilitation place for most patients with craniocerebral injury is at home [9].…”

Section: Introductionmentioning

confidence: 99%

“…7 As many countries developing into aging society, the incidence of cerebrovascular diseases has increased year by year, the number of patients with long-term tracheostomy has increased accordingly. 8 Tracheotomy requires long-term nursing care, the most important rehabilitation place for most patients with craniocerebral injury is home. 9 However, there are many problems in the home care of severe TBI patients with long-term tracheostomy.…”

mentioning

confidence: 99%

The pattern of hospital‐community‐home (HCH) nursing in tracheostomy patients with severe traumatic brain injury: Is it feasible?

Yin

Zhou

et al. 2020

Int J Clin Pract

View full text Add to dashboard Cite

Background Tracheostomy is very common in patients with severe traumatic brain injury (TBI), long‐term nursing care are needed for those patients. We aimed to evaluate the effects of hospital‐community‐home (HCH) nursing in those patients. Methods This study was a before‐after study design. Patients were divided into control groups (traditional nursing care) and HCH group(HCH nursing care). Tracheostomy patients with severe TBI needing long‐term care were included. All patients underwent a two‐month long follow‐up. Glasgow coma score (GCS), Karnofsky, Self‐Anxiety Scale (SAS) from caregiver and Barthel assessment at the discharge and two months after discharge were evaluated. The tracheostomy‐related complications were recorded and compared. Results A total of 60 patients were included. There were no significant differences between the two groups in the GCS, Karnofsky, SAS from caregiver and Barthel index at discharge((all P > .05); the GCS, Karnofsky and Barthel index were all significantly increased after two‐month follow‐up for the two groups (all P < .05), and the GCS, Karnofsky and Barthel index at two‐month follow‐up in HCH group were significantly higher than that of the control group(all P < .05), but the SAS from caregiver at two‐month follow‐up in HCH group was significantly less than that of the control group(P = .009). The incidence of block of artificial tracheal cannula and readmission in HCH group were significant less than that of control group (all P < .05). Conclusion HCH nursing care is feasible in tracheostomy patients with severe TBI, future studies are needed to further evaluate the role of HCH nursing care.

show abstract

The effect of tracheotomy on ventilator-associated pneumonia rate in children

Cited by 5 publications

References 17 publications

Mortality Rate and Causing Factors in Ventilator Associated Pneumonia in Children

Mortality Rate and Causing Factors in Ventilator Associated Pneumonia in Children

The pattern of hospital-community-home (HCH) nursing in tracheostomy patients with severe traumatic brain injury: is it feasible?

The pattern of hospital‐community‐home (HCH) nursing in tracheostomy patients with severe traumatic brain injury: Is it feasible?

Contact Info

Product

Resources

About