tailieunhanh - Báo cáo y học: "Ventilator associated pneumonia: comparison between quantitative and qualitative cultures of tracheal aspirates"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Ventilator associated pneumonia: comparison between quantitative and qualitative cultures of tracheal aspirates. | Available online http content 8 6 R422 Research Ventilator associated pneumonia comparison between quantitative and qualitative cultures of tracheal aspirates Luis Fernando Aranha Camargo1 Fernando Vinícius De Marco2 Carmen Silvia Valente Barbas1 Cristiane Hoelz1 Marco Aurélio Scarpinella Bueno1 Milton Rodrigues Jr1 Verônica Moreira Amado1 Raquel Caserta3 Marinês Dalla Valle Martino4 Jacyr Pasternak4 and Elias Knobel5 Open Access Assistant Physican Intensive Care Unit Hospital Israelita Albert Einstein São Paulo Brasil 2Postgraduate Fellow Intensive Care Unit Hospital Israelita Albert Einstein São Paulo Brasil 3Respiratory Therapist Intensive Care Unit Hospital Israelita Albert Einstein São Paulo Brasil 4Microbiology Laboratory Intensive Care Unit Hospital Israelita Albert Einstein São Paulo Brasil 5Head Intensive Care Unit Hospital Israelita Albert Einstein São Paulo Brasil Corresponding author Luis Fernando Aranha Camargo luis_camargo@ Received 28 April 2004 Revisions requested 23 June 2004 Revisions received 19 August 2004 Accepted 2 September 2004 Published 14 October 2004 Critical Care 2004 8 R422-R430 DOI cc2965 This article is online at http content 8 6 R422 2004 Camargo et al. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is cited. Abstract Introduction Deferred or inappropriate antibiotic treatment in ventilator-associated pneumonia VAP is associated with increased mortality and clinical and radiological criteria are frequently employed to establish an early diagnosis. Culture results are used to confirm the clinical diagnosis and to adjust or sometimes withdraw antibiotic treatment. Tracheal aspirates have been shown to be useful for these purposes. Nonetheless little is known about .