| Author | Martins, Maria Auxiliadora | |
| Author | Menegueti, M. G. | |
| Author | Nicolini, Edson Antonio | |
| Author | Teixeira, Gil Cezar Alkmin | |
| Author | Rodrigues, Fernando Bellissimo | |
| Author | Martins Filho, Olindo Assis | |
| Author | Basile Filho, Aníbal | |
| Access date | 2014-02-28T13:49:46Z | |
| Available date | 2014-02-28T13:49:46Z | |
| Document date | 2012 | |
| Citation | AUXILIADORA-MARTINS, Maria et al. Effect of heat and moisture exchangers on the prevention of ventilator-associated pneumonia in critically ill patients. Brazilian Journal of Medical and Biological Research. 2012, vol.45, n.12, pp. 1295-1300. | pt_BR |
| ISSN | 1414-431X | |
| URI | https://www.arca.fiocruz.br/handle/icict/7373 | |
| Language | eng | pt_BR |
| Publisher | Associação Brasileira de Divulgação Científica | pt_BR |
| Rights | open access | pt_BR |
| Title | Effect of heat and moisture exchangers on the prevention of ventilator-associated pneumonia in critically ill patients | pt_BR |
| Type | Article | pt_BR |
| Abstract | Ventilator-associated pneumonia (VAP) remains one of the major causes of infection in the intensive care unit (ICU) and is associated with the length of hospital stay, duration of mechanical ventilation, and use of broad-spectrum antibiotics. We compared the frequency of VAP 10 months prior to (pre-intervention group) and 13 months after (post-intervention group) initiation of the use of a heat and moisture exchanger (HME) filter. This is a study with prospective before-and-after design performed in the ICU in a tertiary university hospital. Three hundred and fourteen patients were admitted to the ICU under mechanical ventilation, 168 of whom were included in group HH (heated humidifier) and 146 in group HME. The frequency of VAP per 1000 ventilator-days was similar for both the HH and HME groups (18.7 vs 17.4, respectively; P = 0.97). Duration of mechanical ventilation (11 vs 12 days, respectively; P = 0.48) and length of ICU stay (11 vs 12 days, respectively; P = 0.39) did not differ between the HH and HME groups. The chance of developing VAP was higher in patients with a longer ICU stay and longer duration of mechanical ventilation. This finding was similar when adjusted for the use of HME. The use of HME in intensive care did not reduce the incidence of VAP, the duration of mechanical ventilation, or the length of stay in the ICU in the study population. | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Hospital das Clínicas. Departamento de Cirurgia e Anatomia. Divisão de Terapia Intensiva. Ribeirão Preto, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Hospital das Clínicas. Departamento de Cirurgia e Anatomia. Divisão de Terapia Intensiva. Ribeirão Preto, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Hospital das Clínicas. Departamento de Cirurgia e Anatomia. Divisão de Terapia Intensiva. Ribeirão Preto, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Hospital das Clínicas. Departamento de Medicina Social. Ribeirão Preto, SP, Brasil | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Laboratório de Biomarcadores de Diagnóstico e Monitoração. Belo Horizonte, MG, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Hospital das Clínicas. Departamento de Cirurgia e Anatomia. Divisão de Terapia Intensiva. Ribeirão Preto, SP, Brasil | pt_BR |
| Subject | Heat and moisture exchanger | pt_BR |
| Subject | Ventilator-associated pneumonia | pt_BR |
| Subject | Quality improvement | pt_BR |
| Subject | Nosocomial infection | pt_BR |
| Subject | Critically ill patients | pt_BR |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
