Recognition and prevention of nosocomial pneumonia in the intensive care unit and infection control in mechanical ventilation

Lee E. Morrow, Marin H. Kollef

Research output: Contribution to journalReview article

25 Citations (Scopus)

Abstract

Nosocomial pneumonia (NP) is a difficult diagnosis to establish in the critically ill patient due to the presence of underlying cardiopulmonary disorders (e.g., pulmonary contusion, acute respiratory distress syndrome, atelectasis) and the nonspecific radiographic and clinical signs associated with this infection. Additionally, the classification of NP in the intensive care unit setting has become increasingly complex, as the types of patients who develop NP become more diverse. The occurrence of NP is especially problematic as it is associated with a greater risk of hospital mortality, longer lengths of stay on mechanical ventilation and in the intensive care unit, a greater need for tracheostomy, and significantly increased medical care costs. The adverse effects of NP on healthcare outcomes has increased pressure on clinicians and healthcare systems to prevent this infection, as well as other nosocomial infections that complicate the hospital course of patients with respiratory failure. This manuscript will provide a brief overview of the current approaches for the diagnosis of NP and focus on strategies for prevention. Finally, we will provide some guidance on how standardized or protocolized care of mechanically ventilated patients can reduce the occurrence of and morbidity associated with complications like NP.

Original languageEnglish
JournalCritical Care Medicine
Volume38
Issue number8 SUPPL.
DOIs
StatePublished - Aug 2010

Fingerprint

Infection Control
Artificial Respiration
Intensive Care Units
Pneumonia
Delivery of Health Care
Pulmonary Atelectasis
Contusions
Tracheostomy
Adult Respiratory Distress Syndrome
Cross Infection
Hospital Mortality
Infection
Critical Illness
Respiratory Insufficiency
Health Care Costs
Length of Stay
Morbidity
Pressure
Lung

All Science Journal Classification (ASJC) codes

  • Critical Care and Intensive Care Medicine

Cite this

Recognition and prevention of nosocomial pneumonia in the intensive care unit and infection control in mechanical ventilation. / Morrow, Lee E.; Kollef, Marin H.

In: Critical Care Medicine, Vol. 38, No. 8 SUPPL., 08.2010.

Research output: Contribution to journalReview article

@article{1d67bbe9debb4f44b5d96ffcf22a207b,
title = "Recognition and prevention of nosocomial pneumonia in the intensive care unit and infection control in mechanical ventilation",
abstract = "Nosocomial pneumonia (NP) is a difficult diagnosis to establish in the critically ill patient due to the presence of underlying cardiopulmonary disorders (e.g., pulmonary contusion, acute respiratory distress syndrome, atelectasis) and the nonspecific radiographic and clinical signs associated with this infection. Additionally, the classification of NP in the intensive care unit setting has become increasingly complex, as the types of patients who develop NP become more diverse. The occurrence of NP is especially problematic as it is associated with a greater risk of hospital mortality, longer lengths of stay on mechanical ventilation and in the intensive care unit, a greater need for tracheostomy, and significantly increased medical care costs. The adverse effects of NP on healthcare outcomes has increased pressure on clinicians and healthcare systems to prevent this infection, as well as other nosocomial infections that complicate the hospital course of patients with respiratory failure. This manuscript will provide a brief overview of the current approaches for the diagnosis of NP and focus on strategies for prevention. Finally, we will provide some guidance on how standardized or protocolized care of mechanically ventilated patients can reduce the occurrence of and morbidity associated with complications like NP.",
author = "Morrow, {Lee E.} and Kollef, {Marin H.}",
year = "2010",
month = "8",
doi = "10.1097/CCM.0b013e3181e6cc98",
language = "English",
volume = "38",
journal = "Critical Care Medicine",
issn = "0090-3493",
publisher = "Lippincott Williams and Wilkins",
number = "8 SUPPL.",

}

TY - JOUR

T1 - Recognition and prevention of nosocomial pneumonia in the intensive care unit and infection control in mechanical ventilation

AU - Morrow, Lee E.

AU - Kollef, Marin H.

PY - 2010/8

Y1 - 2010/8

N2 - Nosocomial pneumonia (NP) is a difficult diagnosis to establish in the critically ill patient due to the presence of underlying cardiopulmonary disorders (e.g., pulmonary contusion, acute respiratory distress syndrome, atelectasis) and the nonspecific radiographic and clinical signs associated with this infection. Additionally, the classification of NP in the intensive care unit setting has become increasingly complex, as the types of patients who develop NP become more diverse. The occurrence of NP is especially problematic as it is associated with a greater risk of hospital mortality, longer lengths of stay on mechanical ventilation and in the intensive care unit, a greater need for tracheostomy, and significantly increased medical care costs. The adverse effects of NP on healthcare outcomes has increased pressure on clinicians and healthcare systems to prevent this infection, as well as other nosocomial infections that complicate the hospital course of patients with respiratory failure. This manuscript will provide a brief overview of the current approaches for the diagnosis of NP and focus on strategies for prevention. Finally, we will provide some guidance on how standardized or protocolized care of mechanically ventilated patients can reduce the occurrence of and morbidity associated with complications like NP.

AB - Nosocomial pneumonia (NP) is a difficult diagnosis to establish in the critically ill patient due to the presence of underlying cardiopulmonary disorders (e.g., pulmonary contusion, acute respiratory distress syndrome, atelectasis) and the nonspecific radiographic and clinical signs associated with this infection. Additionally, the classification of NP in the intensive care unit setting has become increasingly complex, as the types of patients who develop NP become more diverse. The occurrence of NP is especially problematic as it is associated with a greater risk of hospital mortality, longer lengths of stay on mechanical ventilation and in the intensive care unit, a greater need for tracheostomy, and significantly increased medical care costs. The adverse effects of NP on healthcare outcomes has increased pressure on clinicians and healthcare systems to prevent this infection, as well as other nosocomial infections that complicate the hospital course of patients with respiratory failure. This manuscript will provide a brief overview of the current approaches for the diagnosis of NP and focus on strategies for prevention. Finally, we will provide some guidance on how standardized or protocolized care of mechanically ventilated patients can reduce the occurrence of and morbidity associated with complications like NP.

UR - http://www.scopus.com/inward/record.url?scp=77954903678&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954903678&partnerID=8YFLogxK

U2 - 10.1097/CCM.0b013e3181e6cc98

DO - 10.1097/CCM.0b013e3181e6cc98

M3 - Review article

VL - 38

JO - Critical Care Medicine

JF - Critical Care Medicine

SN - 0090-3493

IS - 8 SUPPL.

ER -