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Risk factors for nosocomial pneumonia: comparing adult critical-care populations.

Publication ,  Journal Article
Cunnion, KM; Weber, DJ; Broadhead, WE; Hanson, LC; Pieper, CF; Rutala, WA
Published in: Am J Respir Crit Care Med
January 1996

The purpose of the study was to examine risk factors for nosocomial pneumonia in the surgical and medical/respiratory intensive care unit (ICU) populations. In a public teaching hospital, all cases of nosocomial pneumonia in the surgical and medical/respiratory ICUs (n = 20, respectively) were identified by prospective surveillance during a 5-yr period from 1987-1991. Each group of ICU cases was compared with 40 ICU control patients who did not acquire pneumonia, and analyzed for 25 potential risk factors. Surgical ICU patients were found to have consistently higher rates of nosocomial pneumonia than medical ICU patients (RR = 2.2). The strongest predictor for nosocomial pneumonia in both the surgical and medical/respiratory ICU groups was found to be prolonged mechanical ventilation (> 1 d) resulting in a 12-fold increase in risk over nonventilated patients. APACHE III score was found to be predictive of nosocomial pneumonia in the surgical ICU population, but not in the medical/respiratory ICU population. We conclude that certain groups deserve special attention for infection control intervention. Surgical ICU patients with high APACHE scores and receiving prolonged mechanical ventilation may be at the greatest risk of acquiring nosocomial pneumonia of all hospitalized patients.

Duke Scholars

Published In

Am J Respir Crit Care Med

DOI

ISSN

1073-449X

Publication Date

January 1996

Volume

153

Issue

1

Start / End Page

158 / 162

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Risk Factors
  • Respiratory System
  • Respiratory Care Units
  • Respiration, Artificial
  • Prospective Studies
  • Postoperative Complications
  • Pneumonia
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cunnion, K. M., Weber, D. J., Broadhead, W. E., Hanson, L. C., Pieper, C. F., & Rutala, W. A. (1996). Risk factors for nosocomial pneumonia: comparing adult critical-care populations. Am J Respir Crit Care Med, 153(1), 158–162. https://doi.org/10.1164/ajrccm.153.1.8542110
Cunnion, K. M., D. J. Weber, W. E. Broadhead, L. C. Hanson, C. F. Pieper, and W. A. Rutala. “Risk factors for nosocomial pneumonia: comparing adult critical-care populations.Am J Respir Crit Care Med 153, no. 1 (January 1996): 158–62. https://doi.org/10.1164/ajrccm.153.1.8542110.
Cunnion KM, Weber DJ, Broadhead WE, Hanson LC, Pieper CF, Rutala WA. Risk factors for nosocomial pneumonia: comparing adult critical-care populations. Am J Respir Crit Care Med. 1996 Jan;153(1):158–62.
Cunnion, K. M., et al. “Risk factors for nosocomial pneumonia: comparing adult critical-care populations.Am J Respir Crit Care Med, vol. 153, no. 1, Jan. 1996, pp. 158–62. Pubmed, doi:10.1164/ajrccm.153.1.8542110.
Cunnion KM, Weber DJ, Broadhead WE, Hanson LC, Pieper CF, Rutala WA. Risk factors for nosocomial pneumonia: comparing adult critical-care populations. Am J Respir Crit Care Med. 1996 Jan;153(1):158–162.

Published In

Am J Respir Crit Care Med

DOI

ISSN

1073-449X

Publication Date

January 1996

Volume

153

Issue

1

Start / End Page

158 / 162

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Risk Factors
  • Respiratory System
  • Respiratory Care Units
  • Respiration, Artificial
  • Prospective Studies
  • Postoperative Complications
  • Pneumonia
  • Middle Aged
  • Male