Dtsch Med Wochenschr 2006; 131(47): 2661-2664
DOI: 10.1055/s-2006-956272
Aktuelle Diagnostik & Therapie | Review article
Pneumologie, Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

Nosokomiale Pneumonie: aktuelle Diagnostik

Nosocomial pneumonia: diagnosticsS. Ewig1 , U. Ostendorf1 , E. Müller2
  • 1Thoraxzentrum Ruhrgebiet, Evangelisches Krankenhaus Herne und Augusta-Kranken-Anstalt
  • 2Knappschaftskrankenhaus Langendreer, Ruhr-Universität Bochum
Further Information

Publication History

eingereicht: 19.6.2006

akzeptiert: 5.10.2006

Publication Date:
16 November 2006 (online)

Literatur

  • 1 Cook D J, Walter S D, Cook R J. et al . Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients.  Ann Intern Med. 1998;  129 433-440
  • 2 American Thoracic Society, Infectious Diseases Society of America . Guidelines for the management of adults with hospital-acquired, ventilator-associated and healthcare-associated pneumonia.  Am J Respir Crit Care Med. 2005;  171 388-416
  • 3 Azoulay E, Timsit J F, Tafflet M. et al. for the Outcomerea Study Group . Candida colonization of the respiratory tract and subsequent Pseudomonas ventilator-associated pneumonia.  Chest. 2006;  129 110-117
  • 4 Fagon J Y, Chastre J, Vuagnat A. et al . Nosocomial pneumonia and mortality among patients in intensive care units.  JAMA. 1996;  275 866-869
  • 5 Rello J, Torres A. Microbial causes of ventilator-associoated pneumonia.  Semin Respir Infect. 1996;  11 24-31
  • 6 Ewig S, Torres A, El-Ebiary M. et al . Bacterial colonization patterns in mechanically ventilated patients with traumatic and medical head injury. Incidence, risk factors, and association with ventilator-associated pneumonia.  Am J Respir Crit Care Med. 1999;  159 188-198
  • 7 Trouillet J L, Chastre J, Vugnat A. et al . Ventilator-associated pneumonia caused by potentially drug-resistant bacteria.  Am J Respir Crit Care Med. 1998;  157 531-539
  • 8 Kollef M H, Sherman G, Ward S, Fraser V J. Inadequate antimicrobial treatment of infections: a risk factor for hospital mortality among critically ill patients.  Chest. 1999;  115 462-474
  • 9 Luna C, Vujachich P, Niederman M S. et al . Impact of BAL data on the therapy and outcome of ventilator-associated pneumonia.  Chest. 1997;  111 676-687
  • 10 Rello J, Ausina V, Ricart M, Castella J, Prats G. Impact of previous antimicrobial therapy on the etiology and outcome of ventilator-associated pneumonia.  Chest. 1993;  104 1230-1235
  • 11 Fabregas N, Ewig S, Torres A. et al . Clinical diagnosis of ventilator-associated pneumonia revisited: comparative evaluation using immediate postmortem biopsies.  Thorax. 1999;  54 867-873
  • 12 Kahn F W, Jones J M. Diagnosing bacterial respiratory infection by bronchoalveolar lavage.  J Infec Dis. 1987;  155 862-869
  • 13 Kirkpatrick M B, Bass J B. Quantitative bacterial cultures of bronchoalveolar lavage fluids and protected brush catheter specimens from normal subjects.  Am Rev Respir Dis. 1989;  139 546-548
  • 14 Marquette C H, Wallet F, Copin M C. et al . Relationship between microbiologic and histiologic features in bacterial pneumonia.  Am J Respir Crit Care Med. 1996;  154 1784-1787
  • 15 Ewig S. Validierung diagnostischer Techniken bei der Beatmungspneumonie: eine Kritik.  Pneumologie. 1999;  53 513-520
  • 16 Ewig S, Torres A. Flexible bronchoscopy for nosocomial pneumonia.  Clin Chest Med. 2000;  22 263-279
  • 17 Gibot S, Cravoisy A, Levy B. et al . Soluble triggering receptor expressed on myeloid cells and the diagnosis of pneumonia.  N Engl J Med. 2004;  350 451-458
  • 18 Mehta R, Niederman M S. Adequate empirical therapy minimizes the impact of diagnostic methods in patients with ventilator-associated pneumonia.  Crit Care Med. 2000;  28 3092-3094

Prof. Dr. med. Santiago Ewig

Thoraxzentrum Ruhrgebiet, Kliniken für Pneumologie und Infektiologie, Evangelisches Krankenhaus Herne und Augusta-Kranken-Anstalt Bochum

Bergstraße 26

44791 Bochum

Phone: 0234/5172461

Fax: 0234/5172463

Email: ewig@augusta-bochum.de

Email: s.ewig@evk-herne.de

URL: http://www.pneumologie-ewig.de

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