Нозокомиальный трахеобронхит в реаниматологии: проблемы диагностики и лечения
#2018-1
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Ключевые слова

нозокомиальная пневмония
нозокомиальный трахеобронхит
сепсис
антибиотики
ингаляционные
колистин
тобрамицин

Как цитировать

Кузовлев А.Н., Шабанов А.К., Гречко А.В. Нозокомиальный трахеобронхит в реаниматологии: проблемы диагностики и лечения. Вестник интенсивной терапии имени А.И. Салтанова. 2018;(1):43–47. doi:10.21320/1818-474X-2018-1-43-47.

Статистика

Просмотров аннотации: 22
PDF_2018-1_43-47 загрузок: 11
Статистика с 21.01.2023

Аннотация

Обзор литературы освещает современное состояние проблемы нозокомиальной пневмонии и нозокомиального трахеобронхита. Обсуждается важная для реаниматологии концепция нозокомиального трахеобронхита, потенциальная роль ингаляционных антибиотиков в лечении данного состояния и возможности таким образом предупредить развитие нозокомиальной пневмонии.
https://doi.org/10.21320/1818-474X-2018-1-43-47
PDF_2018-1_43-47

Библиографические ссылки

  1. Гельфанд Б.Р. Нозокомиальная пневмония у взрослых. Российские национальные рекомендации. М.: МИА, 2016. [Gelfand B.R. Nozokomialʼnaya pnevmoniya u vzroslyh. Rossijskie nacionalʼnye rekomendacii. Moscow: МIА, 2016. (In Russ)]
  2. Susan E., Coffin M.M., Klompas M., et al. Strategies to prevent ventilator‐associated pneumonia in acute care hospitals. Infection Control and Hospital Epidemiology. 2008; 29: S31–40. doi: 10.1086/591062.
  3. КузовлевА.Н., Гречко А.В. Ингаляционные антибиотики в реаниматологии: состояние, проблемы и перспективы развития. Общая реаниматология. 2017, 13(5): 69–85. [Kuzovlev A.N., Grechko A.V. Ingalyacionnye antibiotiki v reanimatologii: sostoyanie, problemy i perspektivy razvitiya. Obshchaya reanimatologiya, 2017, 13(5): 69–85. (In Russ)]. doi: dx.doi.org/10.15360/1813-9779-2017-5-69-84.
  4. Imberti R., Cusato M., Villani P., et al. Steady-state pharmacokinetics and BAL concentration of colistin in critically ill patients after IV colistin methanesulfonate administration. Chest. 2010; 138:1333–1339. doi: 10.1378/chest.10-0463.
  5. Kollef M.H., Chastre J., Clavel M., et al. A randomized trial of 7-day doripenem versus 10-day imipenem-cilastatin for ventilator- associated pneumonia. Crit. Care. 2012; 16(6): R218. doi: 10.1186/cc11862.
  6. Dulhunty J.M., Roberts J.A., Davis J.S., et al. A multicenter randomized trial of continuous versus intermittent beta-lactam infusion in severe sepsis. Am. J. Respir. Crit. Care Med. 2015; 192(11): 1298–1305. doi: 10.1164/rccm.201505–0857OC.
  7. Tamma P.D., Putcha N., Suh Y.D., et al. Does prolonged beta-lactam infusions improve clinical outcomes compared to intermittent infusions? A meta-analysis and systematic review of randomized, controlled trials. BMC Infect. Dis. 2011; 11: 181. doi: 10.1186/1471-2334-11-181.
  8. Marcus R., Paul M., Elphick H., et al. Clinical implications of beta-lactam-aminoglycoside synergism: systematic review of randomized trials. Int. J. Antimicrob. Agents. 2011; 37(6): 491–503. doi: 10.1016/j.ijantimicag.2010.11.029.
  9. Chastre J., Wolff M., Fagon J.Y., et al. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized trial. JAMA. 2003; 290(19): 2588–2598.
  10. Wunderink R.G. POINT: Should Inhaled Antibiotic Therapy Be Used Routinely for the Treatment of Bacterial Lower Respiratory Tract Infections in the ICU Setting? Chest. 2017; 151(4): 737–739. doi: 10.1016/j.chest.2016.11.006.
  11. Niederman M.S., Chastre J., Corkery K., et al. BAY41–6551 achieves bactericidal tracheal aspirate amikacin concentrations in mechanically ventilated patients with gram-negative pneumonia. Intensive Care Med. 2012; 38(2): 263–271. doi: 10.1007/s00134-011-2420-0.
  12. Le J., Ashley E.D., Neuhauser M.M., et al. Consensus summary of aerosolized antimicrobial agents: application of guideline criteria. Insights from the Society of Infectious Diseases Pharmacists. Pharmacotherapy 2010; 30(6): 562–584. doi: 10.1592/phco.30.6.562.
  13. Weers J. Inhaled antimicrobial therapy — barriers to effective treatment. Adv. Drug. Deliv. Rev. 2015, 85: 24–43. doi: 10.1016/j.addr.2015.04.014.
  14. Lu Q., Yang J., Liu Z., et al. Nebulized Antibiotics Study Group. Nebulized ceftazidime and amikacin in ventilator-associated pneumonia caused by Pseudomonas aeruginosa. Am. J. Respir. Crit. Care Med. 2011; 184(1): 106–115. doi: 10.1164/rccm.201011–1894OC.
  15. Ferrari F., Lu Q., Girardi C., Petitjean O., et al. Nebulized ceftazidime in experimental pneumonia caused by partially resistant Pseudomonas aeruginosa. Intensive Care Med. 2009; 35:1792–1800. doi: 10.1007/s00134-009-1605-2.
  16. Lu Q., Girardi C., Zhang M., et al. Nebulized and intravenous colistin in experimental pneumonia caused by Pseudomonas aeruginosa. Intensive Care Med. 2010; 36: 1147–1155. doi: 10.1007/s00134-010-1879-4.
  17. Alves J., Alp E., Koulenti D., et al. Nebulization of antimicrobial agents in mechanically ventilated adults in 2017: an international cross-sectional survey. Eur. J. Clin. Microbiol. Infect. Dis. 2018; 37(4): 785–794. doi: 10.1007/s10096-017-3175-5.
  18. Rello J., Solé-Lleonart C., Rouby J.J., et al. Use of Nebulized Antimicrobials for the Treatment of Respiratory Infections in Invasively Mechanically Ventilated Adults: A Position Paper from the European Society of Clinical Microbiology and Infectious Diseases. Clin. Microbiol. Infect. 2017; 23(9): 629–639. doi: 10.1016/j.cmi.2017.04.011.
  19. Kalil A., Metersky M., Klompas M., et al. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin. Infect. Dis. 2016; 63(5): 575–582. doi: 10.1093/cid/ciw504.
  20. А.Н.Кузовлев, А.К. Шабанов, А.М. Голубев, В.В. Мороз. Оценка эффективности ингаляционного колистина при нозокомиальной пневмонии. Общая реаниматология. 2017: 13(6): 60–74. [A.N. Kuzovlev, A.K. Shabanov, A.M. Golubev, V.V. Moroz. Ocenka ehffektivnosti ingalyacionnogo kolistina pri nozokomialʼnoj pnevmonii. Obshchaya reanimatologiya. 2017; 13(6): 60–74. (In Russ)] doi: dx.doi.org/10.15360/1813-9779-2017-6-60-73.
  21. КузовлевА.Н., Мороз В.В., Голубев А.М. Ингаляционные антибиотики в лечении нозокомиальной пневмонии. Анестезиология и реаниматология. 2015; 4: 68–74.
  22. Karvouniaris M., Makris D., Manoulakas E., et al. Ventilator-associated tracheobronchitis increases the length of intensive care unit stay. Infect. Control. Hosp. Epidemiol. 2013; 34(8): 800–808. doi: 10.1086/671274.
  23. Martin-Loeches I., Povoa P., Rodríguez A., et al. TAVeM study. Incidence and prognosis of ventilator-associated tracheobronchitis (TAVeM): a multicentre, prospective, observational study. Lancet Respir. Med. 2015; 3(11): 859–868. doi: 10.1016/S2213–2600(15)00326–4.
  24. Craven D.E., Lei Y., Ruthazer R., et al. Incidence and outcomes of ventilator-associated tracheobronchitis and pneumonia. Am. J. Med. 2013; 126: 542–549. doi: 10.1016/j.amjmed.2012.12.012.
  25. Nseir S., Deplanque X., Di Pompeo C., et al. A Risk factors for relapse of ventilator-associated pneumonia related to nonfermenting Gram negative bacilli: a case–control study. J. Infect. 2008; 56: 319–325. doi: 10.1016/j.jinf.2008.02.012.
  26. Luna C.M., Aruj P., Niederman M.S., et al. Appropriateness and delay to initiate therapy in ventilator-associated pneumonia. Eur. Respir. J. 2006, 27: 158–164.
  27. Palmer L.B., Smaldone G.C., Chen J.J., et al. Aerosolized antibiotics and ventilator-associated tracheobronchitis in the intensive care unit. Crit. Care Med. 2008, 36(7): 2008–2013. doi: 10.1097/CCM.0b013e31817c0f9e.
  28. Nseir S., Favory R., Jozefowicz E., et al. Antimicrobial treatment for ventilator-associated tracheobronchitis: a randomized, controlled, multicenter study. Crit. Care. 2008, 12(3): R62. doi: 10.1186/cc13940.
  29. Claridge J.A., Edwards N.M., Swanson J., et al. Aerosolized ceftazidime prophylaxis against ventilator-associated pneumonia in high-risk trauma patients: results of a double-blind randomized study. Surg. Infect. (Larchmt). 2007; 8(1): 83–90. doi: 10.1089/sur.2006.042.
  30. Karvouniaris M., Makris D., Zygoulis P., et al. Nebulized colistin for ventilator-associated pneumonia prevention. Eur. Respir. J. 2015; 46(6): 1732–1739. doi: 10.1183/13993003.02235–2014.
  31. Russell C.J., Shiroishi M.S., Siantz E., et al. The use of inhaled antibiotic therapy in the treatment of ventilator-associated pneumonia and tracheobronchitis: a systematic review. BMC Pulm. Med. 2016; 16: 40. doi: 10.1186/s12890-016-0202-8.
  32. Póvoa F.C.C., Cardinal-Fernandez P., Maia I.S., et al. Effect of antibiotics administered via the respiratory tract in the prevention of ventilator-associated pneumonia: A systematic review and meta-analysis. J.Crit. Care. 2018; 43: 240–245. doi: 10.1016/j.jcrc.2017.09.019.
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