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The Incidence of Nosocomial Pneumonia Following Urgent Endotracheal Intubation

Published online by Cambridge University Press:  02 January 2015

Franklin D. Lowy ,
Penelope S. Carlisle ,
Audrey Adams  and
Cheryl Feiner
Franklin D. Lowy*
Affiliation:
Division of Infectious Diseases, Department of Medicine; Infection Control Unit, Department of Nursing; and the Department of Bioslatistics, Montefiore Medical Center, Albert Einstein College of Medicine, New York
Penelope S. Carlisle
Affiliation:
Division of Infectious Diseases, Department of Medicine; Infection Control Unit, Department of Nursing; and the Department of Bioslatistics, Montefiore Medical Center, Albert Einstein College of Medicine, New York
Audrey Adams
Affiliation:
Division of Infectious Diseases, Department of Medicine; Infection Control Unit, Department of Nursing; and the Department of Bioslatistics, Montefiore Medical Center, Albert Einstein College of Medicine, New York
Cheryl Feiner
Affiliation:
Division of Infectious Diseases, Department of Medicine; Infection Control Unit, Department of Nursing; and the Department of Bioslatistics, Montefiore Medical Center, Albert Einstein College of Medicine, New York
*
Division of Infectious Diseases, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467
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Abstract

The risk of nosocomial pneumonia following emergency or urgent endotracheal intubation was studied prospectively. Pneumonia developed in 35 of 78 (45%) patients within three days of intubation. No differences in age, sex, underlying illness, respiratory infection, or antibiotic use were found between those with or without pneumonia. There were also no differences in the frequency of complications occurring during intubation. Patients developing pneumonia tended to have the same organisms isolated from the sputum at the time of intubation and at the time of diagnosis of pneumonia (9 of 20 were identical, 5 differed by a single organism). Sputum cultures taken at the time of intubation were helpful in predicting the subsequent pathogens in patients who developed pneumonia. There were no differences in mortality between patients with (29%) and without (28%) pneumonia. Emergency endotracheal intubation appears to contribute to the overall incidence of nosocomial pneumonia.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 8 , Issue 6 , June 1987 , pp. 245 - 248
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1987

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References

1.Dixon, RE: Nosocomial respiratory infections. Infect Control 1983; 4:375–381.Google Scholar
2.Simmons, BP, Wong, ES: Guideline for prevention of nosocomial pneumonia, in Centers for Disease Control: Guidelines for the Prevention and Control of Nosocomial Infections. Atlanta, US Department of Health and Human Resources, 1982, pp 1–9.Google Scholar
3.Graybill, JR, Marshall, LW, Charache, P, et al: Nosocomial pneumonia, a continuing major problem. Am Rev Resp Dis 1973; 108:1130–1140.Google Scholar
4.Stevens, RM, Teres, D, Skillman, JJ, et al: Pneumonia in an intensive care unit. Arch Intern Med 1974; 134:106–111.CrossRefGoogle Scholar
5.Garibaldi, RA, Britt, MR, Coleman, ML, et al: Risk factors for postoperative pneumonia, in Dixon, RE (ed): Nosocomial Infections. New York, Yorke Medical Books, 1981, pp 239–242.Google Scholar
6.LaForce, FM: Hospital-acquired gram-negative rod pneumonias: An overview, in Dixon, RE (ed): Nosocomial Infections. New York, Yorke Medical Books, 1981, pp 221–226.Google Scholar
7.Cross, AS, Roup, B: Role of respiratory assistance devices in endemic nosocomial pneumonia, in Dixon, RE (ed): Nosocomial Infections. New York, Yorke Medical Books, 1981, pp 234–238.Google Scholar
8.Stauffer, JL, Olson, DE, Petty, TL: Complications and consequences of endotracheal intubation and tracheotomy. Am J Med 1981; 709:65–75.Google Scholar
9.Johanson, WG Jr, Pierce, AK, Sanford, JP, et al: Nosocomial respiratory infections with gram negative bacilli: The significance of colonization of the respiratory tract. Am J Intern Med 1972; 77:701–706.Google Scholar
10.Gross, PA, Neu, HC, Aswapokee, P, et al: Deaths from nosocomial infections: Experience in a university hospital and a community hospital. Am J Med 1980; 68:219–223.Google Scholar