Pneumonia in an intensive care unit. A 30-month experience.
Pneumonia in an intensive care unit. A 30-month experience.
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肺炎在重症监护室。
DOI：
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发表时间：
1974
影响因子：
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通讯作者：
D. Feingold
中科院分区：
文献类型：
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作者：
R. M. Stevens;D. Teres;J. Skillman;D. Feingold
对呼吸外科重症监护病房 (R-SICU) 最初 21/2 年的肺炎病例进行了分析。在 153 名患者中发现了 158 次肺炎发作。无肺炎患者的死亡率为 3.8%。患有或患有革兰氏阳性肺炎的患者死亡率并未增加。没有铜绿假单胞菌参与的革兰氏阴性肺炎患者的死亡率为 33%。从肺炎患者的呼吸道培养物中分离出假单胞菌与 70% 的死亡率相关。 30 个月期间所有入院患者的总体死亡率为 13%。已知的革兰氏阴性杆菌肺炎很常见、危险，而且往往得不到有效治疗。应减少革兰氏阴性病原体的环境来源。预防呼吸道定植的预防方案可能会有所帮助。
Cases of pneumonia during the first 21/2 years of a respiratory-surgical intensive care unit (R-SICU) were analyzed. One hundred fifty-eight episodes of pneumonia were identified in 153 patients. Patients without pneumonia had a mortality of 3.8%. Patients admitted with or acquiring Gram-positive pneumonia did not have increased mortality. Patients who had Gram-negative pneumonias without involvement by Pseudo monas aeruginosa had a mortality of 33%. Isolation of Pseudomonas from respiratory cultures obtained from patients with pneumonia was associated with a mortality of 70%. Overall mortality of all patients admitted during the 30-month period was 13%. Eastablished Gram-negative Bacillus pneumonias are common, dangerous, and often not effectively treated. Environmental sources of Gram-negative pathogens should be reduced. Prophylactic regimens to prevent colonization of the respiratory tract may be helpful.