Hospital-acquired bacterial pneumonia in critically ill patients: from research to clinical practice

被引:0
作者
Kouroupis, Pompeo Costantino [1 ]
O'Rourke, Niall [1 ]
Kelly, Sinead [1 ]
McKittrick, Myles [1 ]
Noppe, Elne [1 ]
Reyes, Luis F. [2 ,3 ,4 ]
Rodriguez, Alejandro [5 ,6 ]
Martin-Loeches, Ignacio [1 ,7 ]
机构
[1] St James Hosp, Dept Intens Care Med, Multidisciplinary Intens Care Res Org MICRO, Dublin, Ireland
[2] Unisabana Ctr Translat Sci, Dept Intens Care Med, Chia, Colombia
[3] Clin Univ La Sabana, Dept Intens Care Med, Chia, Colombia
[4] Univ Oxford, Pandem Sci Inst, Dept Intens Care Med, Oxford, England
[5] Hosp Univ Tarragona Joan XXIII, Crit Care Dept, Tarragona, Spain
[6] Dept Intens Care Med, URV, IISPV, CIBERES, Tarragona, Spain
[7] Univ Barcelona, Hosp Clin, IDIBAPS, CIBERES, Barcelona, Spain
关键词
Intensive care; hospital mortality; antibiotics; sepsis; shock; MDR; VAP; VENTILATOR-ASSOCIATED PNEUMONIA; RISK-FACTORS; DIAGNOSIS; INFECTIONS; STRATEGIES; MANAGEMENT; PATHOGENS; OUTCOMES; SEPSIS; ADULTS;
D O I
10.1080/14787210.2024.2354828
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
IntroductionHospital-acquired pneumonia (HAP) represents a significant cause of mortality among critically ill patients admitted to Intensive Care Units (ICUs). Timely and precise diagnosis is imperative to enhance therapeutic efficacy and patient outcomes. However, the diagnostic process is challenged by test limitations and a wide-ranging list of differential diagnoses, particularly in patients exhibiting escalating oxygen requirements, leukocytosis, and increased secretions.Areas coveredThis narrative review aims to update diagnostic modalities, facilitating the prompt identification of nosocomial pneumonia while guiding, developing, and assessing therapeutic interventions. A comprehensive literature review was conducted utilizing the MEDLINE/PubMed database from 2013 to April 2024.Expert opinionAn integrated approach that integrates clinical, microbiological, and imaging tools is paramount. Progress in diagnostic techniques, including novel molecular methods, the expanding utilization and accuracy of bedside ultrasound, and the emergence of Artificial Intelligence, coupled with an improved comprehension of lung microbiota and host-pathogen interactions, continues to enhance our capability to accurately and swiftly identify HAP and its causative agents. This advancement enables the refinement of treatment strategies and facilitates the implementation of precision medicine approaches.
引用
收藏
页码:423 / 433
页数:11
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