Temporal trends of ventilatorassociated pneumonia in adult intensive care units in the municipality of Goiânia, Goiás, Brazil

Q4 Immunology and Microbiology Journal of Tropical Pathology Pub Date : 2021-12-22 DOI:10.5216/rpt.v50i4.69511

Ana Caroliny Faria Alves, Silvana De Lima Vieira dos Santos, Alexsandra Gomes Resende de Souza da Silva, Júlio César Coelho do Nascimento, Hélio Galdino Júnior, Katiane Martins Mendonça, S. Bisinoto Alves, H. Carneiro Cunha Neves

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Abstract

Given the potential for morbidity and mortality of ventilator-associated pneumonia (VAP), the profile of these infections in adult intensive care units was evaluated in the city of Goiânia. Data were collected from a secondary base in the Department of Prevention and Control of Infection in Health Services, of the Municipal Health Department of Goiânia, from 2014 to 2016, in private (82.7%), public (17.2%), and philanthropic (6.0%) health care services. The rate of use of mechanical ventilation did not change significantly over the three years (32.6%). However, there was a decrease in the mean of VAP incidence density, and in 2016 there was a reduction of 7% in the 90th percentile. These reductions highlight the benefit of the implementation and adherence to bundles by the multidisciplinary team. KEY WORDS: Pneumonia; ventilator-associated; ventilators; mechanical; disease notification.

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巴西goi尼亚市Goiás成人重症监护病房呼吸机相关肺炎的时间趋势

考虑到呼吸机相关性肺炎(VAP)的潜在发病率和死亡率，对goi尼亚市成人重症监护病房中这些感染的情况进行了评估。数据收集自2014年至2016年goinia市卫生局卫生服务感染预防和控制处的二级基地，包括私人(82.7%)、公共(17.2%)和慈善(6.0%)卫生保健服务。三年内机械通气使用率无明显变化(32.6%)。然而，VAP发病率密度的平均值有所下降，2016年第90百分位数下降了7%。这些减少突出了多学科团队实施和遵守捆绑包的好处。关键词:肺炎;ventilator-associated;呼吸器;机械;疾病的通知。

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