التفاصيل البيبلوغرافية
| العنوان: |
A polyurethane cuffed endotracheal tube is associated with decreased rates of ventilator-associated pneumonia. |
| المؤلفون: |
Miller, Melissa A., Arndt, Jennifer L., Konkle, Mark A., Chenoweth, Carol E., Iwashyna, Theodore J., Flaherty, Kevin R., Hyzy, Robert C. |
| المصدر: |
Journal of Critical Care; Jun2011, Vol. 26 Issue 3, p280-286, 7p |
| مصطلحات موضوعية: |
OPPORTUNISTIC infection prevention, PNEUMONIA prevention, COMPUTER software, CONFIDENCE intervals, INTENSIVE care units, SCIENTIFIC observation, POISSON distribution, POLYURETHANES, REGRESSION analysis, MECHANICAL ventilators, DATA analysis, EQUIPMENT & supplies, RELATIVE medical risk, ENDOTRACHEAL tubes |
| مصطلحات جغرافية: |
MICHIGAN |
| مستخلص: |
Abstract: Purpose: The aim of this study was to determine whether the use of a polyurethane-cuffed endotracheal tube would result in a decrease in ventilator-associated pneumonia rate. Materials and Methods: We replaced conventional endotracheal tube with a polyurethane-cuff endotracheal tube (Microcuff, Kimberly-Clark Corporation, Rosewell, Ga) in all adult mechanically ventilated patients throughout our large academic hospital from July 2007 to June 2008. We retrospectively compared the rates of ventilator-associated pneumonia before, during, and after the intervention year by interrupted time-series analysis. Results: Ventilator-associated pneumonia rates decreased from 5.3 per 1000 ventilator days before the use of the polyurethane-cuffed endotracheal tube to 2.8 per 1000 ventilator days during the intervention year (P = .0138). During the first 3 months after return to conventional tubes, the rate of ventilator-associated pneumonia was 3.5/1000 ventilator days. Use of the polyurethane-cuffed endotracheal tube was associated with an incidence risk ratio of ventilator-associated pneumonia of 0.572 (95% confidence interval, 0.340-0.963). In statistical regression analysis controlling for other possible alterations in the hospital environment, as measured by rate of tracheostomy-ventilator-associated pneumonia, the incidence risk ratio of ventilator-associated pneumonia in patients intubated with polyurethane-cuffed endotracheal tube was 0.565 (P = .032; 95% confidence interval, 0.335-0.953). Conclusions: Use of a polyurethane-cuffed endotracheal tube was associated with a significant decrease in the rate of ventilator-associated pneumonia in our study. [Copyright &y& Elsevier] |
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| قاعدة البيانات: |
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