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Pneumonia in an intensive care unit. A 30-month experience
Abstract
Cases of pneumonia during the first 21/2 years of a respiratory-surgical intensive care unit (R-SICU) were analyzed. One hundred fifty-eight episodes of pneumonia were identified in 153 patients. Patients without pneumonia had a mortality of 3.8%. Patients admitted with or acquiring Gram-positive pneumonia did not have increased mortality. Patients who had Gram-negative pneumonias without involvement by Pseudomonas aeruginosahad a mortality of 33%. Isolation ofPseudomonasfrom respiratory cultures obtained from patients with pneumonia was associated with a mortality of 70%. Overall mortality of all patients admitted during the 30-month period was 13%. Eastablished Gram-negativeBacilluspneumonias are common, dangerous, and often not effectively treated. Environmental sources of Gram-negative pathogens should be reduced. Prophylactic regimens to prevent colonization of the respiratory tract may be helpful.
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Citations
Cites
Changing Pharyngeal Bacterial Flora of Hospitalized Patients: Emergence of Gram-Negative Bacilli
Johanson, W. G., Pierce, A. K., & Sanford, J. P. (1969) · New England Journal of Medicine · doi:10.1056/nejm196911202812101 · Cited by 910
Cited by
The Influence of Mini-BAL Cultures on Patient Outcomes
MD, M. H. K., & Ward, S. (1998) · Chest · doi:10.1378/chest.113.2.412 · Cited by 494
DUMOULIN, G. (1982) · The Lancet · doi:10.1016/s0140-6736(82)90974-6 · Cited by 468
Smith, R. S., Fedyk, E. R., Springer, T. A., Mukaida, N., Iglewski, B. H., & Phipps, R. P. (2001) · The Journal of Immunology · doi:10.4049/jimmunol.167.1.366 · Cited by 273
Unertl, K., Ruckdeschel, G., Selbmann, H. K., Jensen, U., Forst, H., Lenhart, F. P., & Peter, K. (1987) · Intensive Care Medicine · doi:10.1007/bf00254795 · Cited by 239
Roux, D., Gaudry, S., Dreyfuss, D., El-Benna, J., de Prost, N., Denamur, E., Saumon, G., & Ricard, J.-D. (2009) · Critical Care Medicine · doi:10.1097/ccm.0b013e31819629d2 · Cited by 129
Metadata
- Authors
- Stevens, R. M.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association
- Published
- 1974-07-01
- Volume
- 134
- Issue
- 1
- Pages
- 106-111
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W4244241987
- Cited by
- 304
- References
- 1
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- Stevens, R. M. (1974). Pneumonia in an intensive care unit. A 30-month experience. Archives of Internal Medicine. https://doi.org/10.1001/archinte.134.1.106
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.