Format

Send to

Choose Destination
Crit Care. 2014 Feb 12;18(1):R32. doi: 10.1186/cc13725.

Incidence and diagnosis of ventilator-associated tracheobronchitis in the intensive care unit: an international online survey.

Collaborators (552)

Martín-Loeches I, Rodriguez A, Cuñat J, Álvarez-Lerma F, Ugarte S, Sinclair J, Curcio D, Povoa P, Nseir S, Salluh J, Ribas AM, Curcio D, Tcach A, Dellera C, Barrios D, Illiovich E, Perrando JC, Álvarez MG, Tamayo A, Wilches M, Molocznik L, Fernández RO, Grilli M, Moyano N, Zakalik G, Sánchez AM, Marín AA, Lagomaggiore L, Cruz RS, Araujo M, Culaccioni H, Arroyo J, Fernández F, Soria G, Duarte D, Herrera H, Nicastro R, Lipovestky F, Pereyra D, Arcieri S, Díaz MJ, Ranieri LJ, Giménez R, Galeano FM, Unzue S, Reyes AT, González L, Sakugawa J, Pucci CJ, Farías S, Pereyra D, Dellera C, Barrios D, Perrando JC, Cahuana A, Acosta IV, Castro DU, Bustamante LA, Nonino MC, Zerain GL, Charocsi SP, Casanova R, Guzmán CI, Duarte PA, Goulart R, Nassif C, Moura CC, Cappi SB, Lisboa T, Houly JG, Lopes M, Viñas LM, Correa TD, Silva E, Azambuja P, Knibel MF, Souza AN, Toldo B, Ranzani O, Amaro S, Pizzol FD, Camargo LD, de Souza Pacheco E, Junior AP, Oliveira S, Pereira E Jr, Biatto J, Grillo MG, Lima R, Cutrim D, Hajjar L, de Souza Dantas VC, Ferreira CB, Sá LM, Rodrigues AC, Vargas G, Filho EM, Aldrighi JR, Lobo S, Rabello L, Serafim R, Martinez A, Netto JJ, Colombari F, Cruz AO, Martins MA, Hatum R, Matsui M, Taniguchi LU, Azevedo L, Ranzani O, Macedo SK, Guerreiro MO, Valiatti JL, Hajjar L, Dalcomune DM, de Andrade UV, Pio F, de Azevedo Lucio E, Acra C, Silva FH, Japiassu AM, Amorim FF, Filho RC, Thielmann D, de Oliveira Maia M, Hoher J, Park M, Homena W, Medrano RP, Sepulveda JS, Chacón RR, Tobar E, Gálvez R, Luengo C, Estuardo N, Labarca E, Donoso AM, Barthel E, Bruhn A, Valenzuela JE, Henriquez JM, Pérez DG, Riquelme HF, Becerra J, Pinto J, Inzunza RM, Flores VT, Arancibia F, Saavedra MP, Mercado JC, Florez OG, Vivero MC, Yepes D, Bejarano J, Arango JC, Parada EC, Rochel AM, Chaparro RG, Molina F, Aristizábal M, Cortés M, de Jesús Valencia E, Niño CE, Paniagua JD, Franco DM, Gambasica JR, Valencia A, Ruíz GO, Fernández MG, Garkcia AL, Matallana RA, Díaz MA, Arias J, Carvajal C, Uribe PT, Reyes F, Bustamante C, Buitrago R, Arango JC, de Jesús Valencia E, Moreno CE, Paniagua JD, Rubio RD, Jaraba J, Romero R, Melo CA, Munive AA, Hernández Á, Vega FV, Suárez JA, González J, Loaiza L, Rey A, Duque MG, González MV, Molano D, Olivera CE, Lombo RM, Parada EG, Mindiola A, Corchuelo A, Muñoz LA, Pabón MC, Vindas JV, Gil MC, Bejarano SC, Pinto DB, Narvaéz LP, Vargas NR, Jativa M, Oña FP, Peláez C, Torres P, Tutillo DM, García MF, Espinosa E, Yepez ES, Morocho D, Parraga S, Álava FM, Romero BM, Moreira JF, Bermúdez GJ, Llerena V, Mora J, Herrera L, Díaz AM, González R, Centeno JV, Zambrano LG, Sánchez GS, Guerrero F, Falconi G, Marín CA, Jativa M, Moreno T, Acosta P, Cedeño VI, Zambrano LB, Rodríguez A, Bodí M, Trefler S, Magret M, Marín J, Claverias L, XXIII J, Martín-Loeches I, Díaz E, Vallés J, Artigas A, Dunlop C, Lerma FÁ, Amilla MP, Bassas M, Castellano PC, Ruíz-Santana S, Ramírez CS, Balcázar LC, Escalada SH, Albis A, Güell E, Almirall J, de la Torre M, Navalpotro MA, Ponte MF, Sanz LS, del Cruz PA, Sánchez EG, Tejedor MC, Casals XN, Vidal MV, Garrido BB, Del Valle Ortiz M, Barrio EM, Echeverri SO, Chinesta SS, Zaragoza R, Buceta N, Amerigo JA, Castro MT, Demay AA, de Lorenzo AG, Ferrera EP, Gómez IJ, Curell CD, Hernández SC, Leganes NC, Fernández RC, Gonzalo MH, González CJ, Orjales MJ, Fariñas FJ, Galleymore PR, Costa JR, Ferraz MG, Cortés PV, Ugidos PF, Ramos LL, Hernández OG, González AV, Martínez MM, Coruña A, Coruña A, Goytisolo JM, Zozaya IJ, Rozalén IC, Violán JS, Agüero JM, Marrero A, Godoy JS, Astigarraga PM, Ugarte CS, Azpiazu EG, Blanquer J, Aguilar G, Delgado C, Belda F, Quiñones EM, del Castillo Durán Y, Estivill RA, Pérez JB, Lata RÁ, Dopazo VM, Augusti L, Pericas LC, Calizaya M, Portillo E, Manzanedo D, López V, García MÁ, León DA, Navarro MP, González MP, Fernández MJ, Carballas JI, Casal VG, Adrio SV, Preciado GL, Mir AS, Crespí LS, Carratalá MR, Herráez JC, Paredes PV, Montori LS, Aguilar AL, Giménez AM, Puertas AC, Puente MG, Aguilar PA, Quilez FB, Nieto M, Campos JM, Romero FJ, Requesens M, Sánchez C, Busto B, Mahave MC, Dito JM, Gutiérrez AM, Zirena AC, Jiménez B, Luque P, Bustamante R, Polo CM, Carrasco R, Menéndez A, Sangio A, López AA, Terrado CA, Martínez D, Arenal CC, González JC, Moragues C, González R, Pérez NM, Luna IM, Hormiga DF, Morillas FJ, Sánchez PN, Mateo-Sidrón JA, Gallego JM, Sánchez RJ, Rebollo S, Sánchez RJ, Silvero EM, Estebanez AG, Ale MP, Valencia M, Piug S, Álvarez AA, Gelbard CH, Pérez IT, Fernández-Cid R, Pons O, Álvarez HA, Checa AA, gil B, del Baño Aledo L, Sánchez IN, Sedes PR, López CM, Fernández AR, Mariño AL, Cuadrado MM, Fernández NL, de Gea García JH, Yáñez IK, Abarca CB, González CR, Reategui CC, López FG, Albaya A, Fernández C, Pellus AM, Jiménez B, Blesa L, Sierra R, Aragón C, Betolaza IS, Bobillo F, Artacoz PV, Zirena AC, Gómez TR, Marcos RJ, Palazón C, López Á, Rueda BG, Goytisolo B, Calvo CP, Tamayo L, Redin LM, Guibo JE, Cuadrado LF, Benito S, Anguiano MP, lobo J, Fernández CT, Vacas JP, Elson MZ, Bonet TM, Monzón LL, Pardavila EA, Melgar JL, Montes AO, Bolaños SR, Iglesias JL, Martínez FG, de Baza B, Weiss N, Voisin B, Van Grundenbeerck N, Robriquet L, Seguin P, Cabaret P, Brunin G, Brun F, Blazejewski C, Beuret P, Béague S, Azoulay E, Argaud L, Mira JP, Charpentier J, Nyunga M, Massanet P, Dewavrin F, Alves I, Préau S, Parmentier-Decrucq E, Nseir S, Romain MM, Mégarbane B, Leroy O, Just B, Guérin C, Girault C, Fagon JY, Cousson J, Clavel M, Misset B, Meneses JL, López RM, Patzan LD, Cortez C, Velázquez LD, Riveros MA, Carrillo AM, Palomino IR, Prosopio PC, Miranda MO, Bravo LC, Luna PF, Miranda IO, Miranda IO, Bravo LC, Trelles VM, Mayorga M, Santivañez LM, Yaringano M, Salas J, Espichan MJ, Yaringano M, Monge LM, Heredia CM, Araújo R, Gomes E, Molinos E, Lafuente E, Dias C, Paiva JA, Sarmento A, Santos M, Castelões P, Josefina A, Esteves F, Catorze N, Freitas P, Serra I, Póvoa P, Paulino C, Gomes JA, Bagulho L, Candeias C, Coelho L, Marques R, Fernandes A, André P, Vaz J, Mendes A, Pádua F, Nóbrega JJ, Restrepo MI, Anzueto A, Deicas A, Torales M, Grill F, Castilla MJ, Silva MF, Ingold JM, Limongi G, Tejera D, González R, Martínez FG, Pacheco SM, Tavares RD, Ruíz PP, Ruíz N, Brito N, Vázquez Y, Salva S, Moreno F.

Abstract

INTRODUCTION:

Several aspects of ventilator-associated tracheobronchitis (VAT)-including diagnostic criteria, overlap with ventilator-associated pneumonia (VAP), and appropriate treatment regimens-remain poorly defined. The objectives of this study were to survey reported practices in the clinical and microbiological diagnosis of VAT and to evaluate perceptions of the impact of VAT on patient outcomes.

METHODS:

We developed a questionnaire consisting of (a) characteristics of the respondent, the ICU, and hospital; (b) current clinical and microbiological diagnostic approach; (c) empirical antibiotic therapy; and (d) the perception of physicians regarding the clinical impact of VAT and its implications.

RESULTS:

A total of 288 ICUs from 16 different countries answered the survey: 147 (51%) from the Latin American (LA) group and 141 (49%) from Spain, Portugal, and France (SPF group). The majority of respondents (n = 228; 79.2%) reported making the diagnosis of VAT based on clinical and microbiological criteria, and 40 (13.9%) by clinical criteria alone. Approximately half (50.3%) of the respondents agreed that patients should receive antibiotics for the treatment of VAT. Out of all respondents, 269 (93.4%) assume that a VAT episode increases ICU length of stay, and this perception is greater in the LA group (97.3%) than in the SPF group (89.4%, P <0.05). Half of the physicians considered that VAT increases the risk of mortality, and this perception is again greater in the LA group (58.5% versus 41.1%, P <0.05).

CONCLUSIONS:

Given the possible high incidence of VAT and the perception of its importance as a risk factor for VAP and mortality, a large multicenter international prospective study would be helpful to validate a consensual definition of VAT, determine its incidence, and delineate its impact on subsequent VAP occurrence.

PMID:
24521533
PMCID:
PMC4057509
DOI:
10.1186/cc13725
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center