Pneumopathies bactériennes atypiques en soins critiques

Q4 Nursing Medecine Intensive Reanimation Pub Date : 2023-09-19 DOI:10.37051/mir-00176
Guillaume Deniel, Jean-Christophe Richard, Florence Ader
{"title":"Pneumopathies bactériennes atypiques en soins critiques","authors":"Guillaume Deniel, Jean-Christophe Richard, Florence Ader","doi":"10.37051/mir-00176","DOIUrl":null,"url":null,"abstract":"Atypical pneumonia accounts for 15 to 30% of the community-acquired pneumonias, and 7 to 14% of those admitted in ICU. Several bacteria may be involved, while Legionella pneumophila, Mycoplasma pneumoniae et Chlamydophila pneumoniae are the most frequently observed. Legionnaires’ disease is the most frequent one in ICU. It has also the poorest prognostic with ICU mortality up to 40% and is usually observed in comorbid or immunocompromised patients. On the other hand, most Chlamydophila pneumoniae and Mycoplasma pneumoniae pneumonias are documented in children or young adults without comorbidity, and their prognostic is usually better, but ICU mortality is still close to 25%. Macrolides and fluoroquinolones are currently the antibiotics of choice. Some specific features in the ICU care of these pneumonias must be known, also with low clinical evidence. Less common bacteria may be documented in the ICU such as Chlamydia psittacosis, Coxiella burnetii or Burkholderia pseudomallei, whose mortality may be up to 50%.","PeriodicalId":37232,"journal":{"name":"Medecine Intensive Reanimation","volume":"171 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medecine Intensive Reanimation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37051/mir-00176","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0

Abstract

Atypical pneumonia accounts for 15 to 30% of the community-acquired pneumonias, and 7 to 14% of those admitted in ICU. Several bacteria may be involved, while Legionella pneumophila, Mycoplasma pneumoniae et Chlamydophila pneumoniae are the most frequently observed. Legionnaires’ disease is the most frequent one in ICU. It has also the poorest prognostic with ICU mortality up to 40% and is usually observed in comorbid or immunocompromised patients. On the other hand, most Chlamydophila pneumoniae and Mycoplasma pneumoniae pneumonias are documented in children or young adults without comorbidity, and their prognostic is usually better, but ICU mortality is still close to 25%. Macrolides and fluoroquinolones are currently the antibiotics of choice. Some specific features in the ICU care of these pneumonias must be known, also with low clinical evidence. Less common bacteria may be documented in the ICU such as Chlamydia psittacosis, Coxiella burnetii or Burkholderia pseudomallei, whose mortality may be up to 50%.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
重症监护中的非典型细菌性肺炎
非典型肺炎占社区获得性肺炎的15 - 30%,占ICU住院患者的7 - 14%。可能涉及几种细菌,而嗜肺军团菌、肺炎支原体和肺炎衣原体是最常见的。军团病是ICU最常见的疾病。它预后最差,ICU死亡率高达40%,通常见于合并症或免疫功能低下的患者。另一方面,大多数肺炎衣原体和肺炎支原体肺炎记录在儿童或青壮年无合病,其预后通常较好,但ICU死亡率仍接近25%。大环内酯类药物和氟喹诺酮类药物是目前首选的抗生素。必须了解这些肺炎ICU护理的一些具体特征,临床证据也很低。重症监护病房中可能记录有不太常见的细菌,如鹦鹉热衣原体、伯纳氏柯谢氏菌或假马尔杆菌,其死亡率可高达50%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Medecine Intensive Reanimation
Medecine Intensive Reanimation Medicine-Emergency Medicine
CiteScore
0.80
自引率
0.00%
发文量
33
期刊最新文献
Endocardite infectieuse en réanimation Pneumocytose en réanimation Pneumopathies bactériennes atypiques en soins critiques Méningites et encéphalites graves : prise en charge initiale en réanimation Leptospirose en réanimation
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1