Ventilator-Associated Pneumonia Prevention in Pediatric Patients: Narrative Review
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F22%3A00076457" target="_blank" >RIV/65269705:_____/22:00076457 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/22:00127624
Result on the web
<a href="https://www.mdpi.com/2227-9067/9/10/1540" target="_blank" >https://www.mdpi.com/2227-9067/9/10/1540</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.3390/children9101540" target="_blank" >10.3390/children9101540</a>
Alternative languages
Result language
angličtina
Original language name
Ventilator-Associated Pneumonia Prevention in Pediatric Patients: Narrative Review
Original language description
Ventilator-associated pneumonia (VAP), one of the most common healthcare-associated infections in intensive care settings, is associated with significant morbidity and mortality. VAP is diagnosed in >10% of patients on mechanical ventilation, incidence rising with number of ventilator days. In recent decades, the pathophysiology of VAP, VAP risk factors and treatment have been extensively studied. In critically ill pediatric patients, mechanical issues such as insufficient tightness of the ventilator circuit (mainly due to historically based preference of uncuffed tubes) and excessive humidity in the circuit are both significant risk factors of VAP development. Protocol-based approaches to critically ill patients on mechanical ventilation, closed suctioning, upper body position, enteral feeding and selective gastric acid suppression medication have a beneficial effect on VAP incidence. In recent decades, cuffed tubes applied to the whole spectrum of critically ill pediatric patients (except neonates <2700 g of weight), together with cuff-oriented nursing care including proper cuff-pressure (<20 cm H2O) management and the use of specialized tracheal tubes with subglottic suction ports combined with close infraglottic tracheal suctioning, have been implemented. The aim of this review was to summarize the current evidence-based knowledge about the pathophysiology, risk factors, diagnosis, treatment and prevention of VAP in clinically oriented settings.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30209 - Paediatrics
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
CHILDREN-BASEL
ISSN
2227-9067
e-ISSN
2227-9067
Volume of the periodical
9
Issue of the periodical within the volume
10
Country of publishing house
CH - SWITZERLAND
Number of pages
12
Pages from-to
1540
UT code for WoS article
000874238800001
EID of the result in the Scopus database
2-s2.0-85140637889