Title :

Hospital-acquired pneumonia in ICU

Author(s) :

Leone, Marc [Auteur]
Bouadma, Lila [Auteur]
Bouhemad, Belaid [Auteur]
Brissaud, Olivier [Auteur]
Dauger, Stephane [Auteur]
Gibot, Sebastien [Auteur]
Hraiech, Sami [Auteur]
Jung, Boris [Auteur]
Kipnis, Eric [Auteur]
Recherche translationelle relations hôte-pathogènes
Launey, Yoann [Auteur]
Luyt, Charles-Edouard [Auteur]
Margetis, Dimitri [Auteur]
Michel, Fabrice [Auteur]
Mokart, Djamel [Auteur]
Montravers, Philippe [Auteur]
Monsel, Antoine [Auteur]
Nseir, Saad [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Pugin, Jerome [Auteur]
Roquilly, Antoine [Auteur]
Velly, Lionel [Auteur]
Zahar, Jean-Ralph [Auteur]
Bruyere, Remi [Auteur]
Chanques, Gerald [Auteur]

Journal title :

Anaesthesia, Critical Care & Pain Medicine

Abbreviated title :

Anaesth. Crit. Care Pain Med.

Volume number :

37

Pages :

83-98

Publication date :

2018-02-01

ISSN :

2352-5568

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

The French Society of Anesthesia and Intensive Care Medicine and the French Society of Intensive Care edited guidelines focused on hospital-acquired pneumonia (HAP) in intensive care unit (ICU). The goal of 16 French-speaking ...
Show more >The French Society of Anesthesia and Intensive Care Medicine and the French Society of Intensive Care edited guidelines focused on hospital-acquired pneumonia (HAP) in intensive care unit (ICU). The goal of 16 French-speaking experts was to produce a framework enabling an easier decision-making process for intensivists. The guidelines were related to 3 specific areas related to HAP (prevention, diagnosis and treatment) in 4 identified patient populations (COPD, neutropenia, postoperative and pediatric). The literature analysis and the formulation of the guidelines were conducted according to the Grade of Recommendation Assessment, Development and Evaluation methodology. An extensive literature research over the last 10 years was conducted based on publications indexed in PubMed and Cochrane databases. HAP should be prevented by a standardized multimodal approach and the use of selective digestive decontamination in units where multidrug-resistant bacteria prevalence was below 20%. Diagnosis relies on clinical assessment and microbiological findings. Monotherapy, in the absence of risk factors for multidrug-resistant bacteria, non-fermenting Gram negative bacilli and/or increased mortality (septic shock, organ failure), is strongly recommended. After microbiological documentation, it is recommended to reduce the spectrum and to prefer monotherapy for the antibiotic therapy of HAP, including for non-fermenting Gram-negative bacilli.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Inserm
Université de Lille
CHU Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
• Recherche translationnelle : relations hôte-pathogènes - ULR 7366

Research team(s) :

Fungal associated invasive and inflammatory diseases

Submission date :

2019-03-01T14:18:00Z