Abstract
Background and aims: The mechanical ventilator related pneumonia is a high index morbidity and mortality complication with very particular features different from nosocomial pneumonia in non intubated patients. The aim of this study was to determine the length of stay in the pediatric patients with mechanical ventilator related pneumonia in a pediatric critical care unit. Aims: The aim of this study was to determine the length of stay in the pediatric patients with mechanical ventilator related pneumonia in a pediatric critical care unit. Methods: Descriptive, retrospective, observational study. All the patients that were admitted in the pediatric critical care unit between august 2010 and january 2011 with nosocomial pneumonia diagnose. The study variables were length of stay in days, diagnosis, temperature, positive culture, age, white blood cells count, chest X-ray, PaFi, OI, pneumothorax, cardiac arrest, antibiotic treatment and outcome. There was used descriptive statistics for the analysis with the statistical package EPI INFO 3.5.3. Results: There were analyzed the clinical records of 91 patients with nosocomial pneumonia in the pediatric critical care unit, difference in PRISM score (36 vs. 25), length of stay > 21 days, previous PICU admission, ward admittance are related with higher mortality. (p<0.01). The main pathogens were Klebsiella pneumoniae (26%) and Pseudomonas Aeruginosa (26%). Conclusions: We can conclude that the variables related with physiological stability at the admission and the level of damage in the gases interchange is positive correlated with more days of treatment and with a higher mortality rate; the risk of mortality increases as the age decreases.
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