• Am. J. Crit. Care · Nov 2014

    Risk Factors for Ventilator-Associated Pneumonia in Infants and Children: a Cross-sectional Cohort Study.

    • Denise Miyuki Kusahara, Camila da Cruz Enz, Ariane Ferreira Machado Avelar, Maria Angélica Sorgini Peterlini, and Mavilde da Luz Gonçalves Pedreira.
    • Denise Miyuki Kusahara is a pediatric critical care nurse, Ariane Ferreira Machado Avelar is an adjunct professor, Maria Angélica Sorgini Peterlini and Mavilde da Luz Gonçalves Pedreira are associate professors, Pediatric Nursing Department, and Camila da Cruz Enz is a registered nurse and a former scientific initiation fellow, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil. dkusahara@unifesp.br.
    • Am. J. Crit. Care. 2014 Nov 1;23(6):469-76.

    BackgroundThe epidemiology of ventilator-associated pneumonia is well described for adults, but little information is available on risk factors for this disease in children.ObjectiveTo identify predisposing factors for ventilator-associated pneumonia in children.MethodsA cross-sectional prospective cohort study of 96 patients in a 9-bed pediatric intensive care unit was performed. Variables examined were demographic characteristics, inpatient care, medications, nutrition, invasive procedures, and characteristics of mechanical ventilation. Data were analyzed by using Pearson χ(2) analysis, Fisher exact and Mann-Whitney tests, odds ratios, and forward stepwise logistic regression.ResultsOccurrence of ventilator-associated pneumonia correlated positively with use of nasoenteral tubes (odds ratio, 5.278; P < .001), intermittent administration of nutritional formula (odds ratio, 6.632; P = .005), emergency reintubation (odds ratio, 2.700; P = .02), use of vasoactive drugs (odds ratio, 5.108; P = .009), duration of mechanical ventilation (P < .001), and length of stay in the pediatric intensive care unit (P < .001) and in the hospital (P = .01).ConclusionUse of vasoactive drugs, presence of a nasoenteral tube, and duration of stay in the pediatric intensive care unit were independent risk factors for ventilator-associated pneumonia.©2014 American Association of Critical-Care Nurses.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…