Does invasive diagnosis of nosocomial pneumonia during off-hours delay treatment? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-02-24

AUTHORS

Charles-Edouard Luyt, Alain Combes, Ania Nieszkowska, Catherine Reynaud, Marc Tonnellier, Jean-Louis Trouillet, Jean Chastre

ABSTRACT

ObjectiveWe examined whether invasive lung-specimen collection-to-treatment times for intensive care unit patients with suspected ventilator-associated pneumonia (VAP) differ with to the work shift during which specimens were collected. We compared weekday day shifts and off-hours (from 6:30 p.m. to 8:29 a.m. the next day for night shifts, from Saturday 1:00 p.m. to Monday 8:29 a.m. for weekends, and from 8:30 a.m. to 8:29 a.m. the following morning for public holidays).Design and settingSingle-center, observational study in the intensive care unit in an academic teaching hospital.Patients and participants101 patients who developed 152 episodes of bacteriologically confirmed VAP.Measurements and resultsOf the 152 VAP episodes 66 were diagnosed during off-hours. Neither more bronchoscopy complications nor more inappropriate initial antimicrobial treatments for patients were observed between day and off-hour shifts. Indeed, the overall time from brochoalveolar lavage to antibiotic administration was shorter for off-hours than day-shifts due to shorter specimen collection-to-antibiotic prescription times, but antibiotic prescription-to-administration times were the same.ConclusionsAn invasive strategy based on bronchoscopy to diagnose VAP was not associated with a longer time to first appropriate antibiotic administration when clinical suspicion of VAP occurs during off-hours. More... »

PAGES

734-737

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-007-0562-x

DOI

http://dx.doi.org/10.1007/s00134-007-0562-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037016801

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17323047


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