16 March 2012
Early ICU Energy Deficit is a Risk Factor for Staphylococcus aureus Ventilator-Associated Pneumonia.
This study was undertaken to determine the impact of patients’early in-ICU energy balance on the pathogens responsible for ventilator-associated pneumonia.
Energy balance (energy delivered - calculated resting energy expenditure) was compared according to the microbiologic results of the fiber-optic BAL (bronchoalveolar lavage) cultures of 76 consecutive patients receiving acute prolonged (≥ 96 h) mechanical ventilation who developed Ventilator-associated Pneumonia during their ICU stay.
The study conclusion was that "Early ICU energy deficit is an independent determinant for acquiring S aureus Ventilator-associated Pneumonia in patients on acute prolonged mechanical ventilation.". Therefore, "limiting the energy deficit during the first week of ICU stay could be a way to optimize S aureus VAP prevention".
The abstract details are the following:
- Title: "Early ICU Energy Deficit Is a Risk Factor for Staphylococcus aureus Ventilator-Associated Pneumonia"
- Authors: Christophe Faisy, Maria Candela Llerena, Magali Savalle, Jean-Luc Mainardi and Jean-Yves Fagon. European Georges Pompidou Hospital, University Paris–Descartes, France
- Published in: Chest 2011;140;1254-1260
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