tailieunhanh - Báo cáo y học: "Diagnosis of ventilator-associated pneumonia: a systematic review of the literature"

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: Diagnosis of ventilator-associated pneumonia: a systematic review of the literature. | Available online http content 1 2 2 R56 Research Diagnosis of ventilator-associated pneumonia a systematic review of the literature Alvaro Rea-Neto1 Nazah Cherif M Youssef1 Fabio Tuche1 Frank Brunkhorst1 V Marco Ranieri2 Konrad Reinhart1 and Yasser Sakr1 Department of Anesthesiology and Intensive Care Friedrich-Schiller-University Hospital 07743 Jena Germany department of Anesthesiology and Intensive Care S. Giovanni Battista Hospital University of Turin Turin 101 26 Italy Corresponding author Yasser Sakr Received 2 Feb 2008 Revisions requested 26 Mar 2008 Revisions received 1 Apr 2008 Accepted 21 Apr 2008 Published 21 Apr 2008 Critical Care 2008 12 R56 doi cc6877 This article is online at http content 12 2 R56 2008 Xiao 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 properly cited. Open Access Abstract Introduction Early accurate diagnosis is fundamental in the management of patients with ventilator-associated pneumonia VAP . The aim of this qualitative review was to compare various criteria of diagnosing VAP in the intensive care unit ICU with a special emphasis on the value of clinical diagnosis microbiological culture techniques and biomarkers of host response. Methods A MEDLINE search was performed using the keyword ventilator associated pneumonia AND diagnosis . Our search was limited to human studies published between January 1966 and June 2007. Only studies of at least 25 adult patients were included. Predefined variables were collected including year of publication study design prospective retrospective number of patients included and disease group. Results Of 572 articles fulfilling the initial search criteria 159 articles were chosen for detailed review of the .