Medicina intensiva
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Multicenter Study Comparative Study
Community-acquired Legionella Pneumonia in the intensive care unit: Impact on survival of combined antibiotic therapy.
To compare intensive care unit (ICU) mortality in patients with severe community-acquired pneumonia (SCAP) caused by Legionella pneumophila receiving combined therapy or monotherapy. ⋯ Combined antibiotic therapy decreases mortality in patients with SCAP and shock caused by L. pneumophila.
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Multicenter Study Comparative Study Observational Study
Differences in hospital- and ventilator-associated pneumonia due to Staphylococcus aureus (methicillin-susceptible and methicillin-resistant) between Europe and Latin America: a comparison of the EUVAP and LATINVAP study cohorts.
A comparison is made of epidemiological variables (demographic and clinical characteristics) and outcomes in patients with hospital-acquired pneumonia (HAP) or ventilator-associated pneumonia (VAP) caused by methicillin-susceptible and methicillin-resistant Staphylococcus aureus (MSSA and MRSA) in the Latin American VAP (LATINVAP) vs. the European Union VAP (EUVAP) cohorts of patients admitted to intensive care units (ICUs). ⋯ MRSA pneumonia was associated with poorer outcomes in comparison with MSSA. Our study suggests significant variability among European and Latin American ICU practices that may influence clinical outcomes. Furthermore, patients with pneumonia in Latin America have different outcomes.
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Multicenter Study Comparative Study Observational Study
Prognosis of elderly patients subjected to mechanical ventilation in the ICU.
To analyze the prognosis of mechanically ventilated elderly patients in the Intensive Care Unit (ICU). ⋯ Older patients (≥ 75 years) have significantly higher in-ICU and in-hospital mortality than younger patients without differences in the duration of mechanical ventilation. Differences in mortality were at the expense of pneumonia, sepsis and trauma.
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Multicenter Study Observational Study
Outcome of tracheotomized patients following reintubation.
To evaluate the outcome of tracheotomized patients after reintubation. ⋯ In our cohort of reintubated patients, tracheotomy is a common procedure in the ICU. Patients with tracheotomy had an outcome similar to those without tracheotomy.
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Multicenter Study
[Antifungal prophylaxis in the postoperative period of lung transplant surgery in Spain].
To examine the type and duration of antifungal prophylaxis provided during the postoperative period of lung transplant recipients, together with the most frequent complications during admission to Intensive Care Units in Spain. ⋯ Antifungal prophylaxis during the postoperative period of lung transplantation is provided on a universal basis, though consensus is lacking as to the drug of choice, the administration route and the duration of such treatment.