The effect of tracheotomy on ventilator-associated pneumonia rate in children

气管切开术 医学 呼吸机相关性肺炎 机械通风 肺炎 重症监护室 外科 麻醉 重症监护医学 内科学
作者
Sevgi Topal,Emine Demir,Gülhan Atakul,Mustafa Çolak,Ekin Soydan,Utku Karaarslan,Nevbahar Yaşar,Elif Kıymet,İlker Devrim,Hasan Ağın
出处
期刊:International Journal of Pediatric Otorhinolaryngology [Elsevier]
卷期号:132: 109898-109898 被引量:4
标识
DOI:10.1016/j.ijporl.2020.109898
摘要

Data on the relationship between tracheotomy and ventilator-associated pneumonia (VAP) in children is very limited. We planned to evaluate the effect of tracheotomy on VAP rates in children. We evaluated patients who underwent tracheotomy during follow-up at the pediatric intensive care unit (PICU) of our hospital. Patients who were diagnosed as VAP at least once and followed by a mechanical ventilation (MV) for at least 30 days before and after tracheotomy were included in our study. The underlying diagnoses of the patients and the number of VAP diagnosis, VAP rates (VAP number x1000/day of MV) before and after tracheotomy were recorded. Logistic regression analysis was used to compare VAP rates before and following a tracheotomy. There were a total of 47 patients including 28 (59.6%) girls and 19 (40.4%) boys in our study. The duration of MV before tracheotomy was 74.9 ± 48.9 (31–295) days and after tracheotomy, it was 103.3 ± 102.8 (30–586) days. The number of VAP before tracheotomy was 0.9 ± 1.2 (0–8) and after tracheotomy, it was 0.6 ± 0.6 (0–3). The VAP rate before tracheotomy was 5.9 ± 6.3 (0–26.5) and the VAP rate after tracheotomy was 3.2 ± 3.8 (0–11.4). Ventilator-associated pneumonia rates were lower following tracheotomy (OR:0.91,95%CI:0.826–0.981,p = 0.017). Tracheotomy decreased the VAP rate in children receiving long-term mechanical ventilatory support.
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