tailieunhanh - Báo cáo khoa học: " A Recently published papers: pulmonary care, pandemics, and eugenics in surviving sepsis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A Recently published papers: pulmonary care, pandemics, and eugenics in surviving sepsis? | Available online http content 10 1 116 Commentary Recently published papers pulmonary care pandemics and eugenics in surviving sepsis Christopher Bouch and Gareth Williams University Hospitals of Leicester Leicester Royal Infirmary Leicester LE1 5WW UK Corresponding author Gareth Williams Published 1 February 2006 This article is online at http content 10 1 116 2006 BioMed Central Ltd Critical Care 2006 10 116 doi cc4820 Abstract Respiratory failure is one of the leading admission diagnoses on the critical care unit and the journals have reflected this over the past few months. An understanding of the aetiology of pulmonary sepsis is important but your choice of ventilator gas humidification system is not. There are prophecies of more pandemics but panic is futile because survival is all down to your genes. Health-care-associated pneumonia HCAP refers to a pulmonary infection that develops in individuals recently hospitalised or undergoing renal replacement therapy or other long-term out-patient care. Over the past few years it has been postulated that this reflects a distinct group of pathogens with consequent implications for therapy and also on outcome. However no study had looked at the pathogens of both HCAP and community-acquired pneumonia CAP and compared them with those of hospital-acquired pneumonia HAP and ventilator-associated pneumonia VAP . Kollef et al. 1 have attempted to do this by retrospective analysis of a large USA database of culture-positive pneumonia in 59 US centres over a 1-year period. The study defined 4 543 positive pneumonias of which 2 221 were CAP 988 HCAP 853 HAP and 499 VAP. The results showed that patients with HCAP were slightly older than those with CAP but were broadly similar to those with HAP. Half of the patients with HCAP came from nursing homes. Illness severity was almost identical in both HCAP and VAP but was higher than in HAP and CAP. Bacterial pathogen .