Hospital-acquired pneumonia in ICU
Document type :
Article dans une revue scientifique
PMID :
Permalink :
Title :
Hospital-acquired pneumonia in ICU
Author(s) :
Leone, Marc [Auteur]
Hôpital Nord [CHU - APHM]
Bouadma, Lila [Auteur]
AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Bouhemad, Belaid [Auteur]
Service d'anesthésie - réanimation chirurgicale [CHU de Dijon]
Brissaud, Olivier [Auteur]
CHU de Bordeaux Pellegrin [Bordeaux]
Dauger, Stephane [Auteur]
Maladies neurodéveloppementales et neurovasculaires [NeuroDiderot (UMR_S_1141 / U1141)]
Gibot, Sebastien [Auteur]
Service de Réanimation Médicale [CHRU Nancy]
Hraiech, Sami [Auteur]
Hôpital Nord [CHU - APHM]
Jung, Boris [Auteur]
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] [PhyMedExp]
Kipnis, Eric [Auteur]
Recherche translationnelle : relations hôte-pathogènes - EA 7366
Launey, Yoann [Auteur]
Service d'anesthésie réanimation chirurgicale [Rennes]
Luyt, Charles-Edouard [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Margetis, Dimitri [Auteur]
CHU Saint-Antoine [AP-HP]
Michel, Fabrice [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Mokart, Djamel [Auteur]
Institut Paoli-Calmettes [IPC]
Montravers, Philippe [Auteur]
AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Monsel, Antoine [Auteur]
Université Pierre et Marie Curie - Paris 6 [UPMC]
Nseir, Saad [Auteur]
Lille Inflammation Research International Center (LIRIC) - U995
Pugin, Jerome [Auteur]
Hôpitaux universitaires de Genève = University Hospitals of Geneva [HUG]
Roquilly, Antoine [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Velly, Lionel [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Bruyere, Remi [Auteur]
Centre Hospitalier de Bourg en Bresse
Chanques, Gerald [Auteur]
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] [PhyMedExp]
Hôpital Nord [CHU - APHM]
Bouadma, Lila [Auteur]
AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Bouhemad, Belaid [Auteur]
Service d'anesthésie - réanimation chirurgicale [CHU de Dijon]
Brissaud, Olivier [Auteur]
CHU de Bordeaux Pellegrin [Bordeaux]
Dauger, Stephane [Auteur]
Maladies neurodéveloppementales et neurovasculaires [NeuroDiderot (UMR_S_1141 / U1141)]
Gibot, Sebastien [Auteur]
Service de Réanimation Médicale [CHRU Nancy]
Hraiech, Sami [Auteur]
Hôpital Nord [CHU - APHM]
Jung, Boris [Auteur]
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] [PhyMedExp]
Kipnis, Eric [Auteur]
Recherche translationnelle : relations hôte-pathogènes - EA 7366
Launey, Yoann [Auteur]
Service d'anesthésie réanimation chirurgicale [Rennes]
Luyt, Charles-Edouard [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Margetis, Dimitri [Auteur]
CHU Saint-Antoine [AP-HP]
Michel, Fabrice [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Mokart, Djamel [Auteur]
Institut Paoli-Calmettes [IPC]
Montravers, Philippe [Auteur]
AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Monsel, Antoine [Auteur]
Université Pierre et Marie Curie - Paris 6 [UPMC]
Nseir, Saad [Auteur]
Lille Inflammation Research International Center (LIRIC) - U995
Pugin, Jerome [Auteur]
Hôpitaux universitaires de Genève = University Hospitals of Geneva [HUG]
Roquilly, Antoine [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Velly, Lionel [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Bruyere, Remi [Auteur]
Centre Hospitalier de Bourg en Bresse
Chanques, Gerald [Auteur]
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] [PhyMedExp]
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 >
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
Université de Lille
CHU Lille
Collections :
Research team(s) :
Fungal associated invasive and inflammatory diseases
Submission date :
2019-03-01T14:18:00Z
2024-01-23T14:28:45Z
2024-01-23T14:28:45Z
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