Seawater drowning-associated pneumonia: a 10-year descriptive cohort in intensive care unit.
Alexandre RobertPierre-Éric DaninHervé QuintardNicolas DegandNihal MartisDenis DoyenCéline PulciniRaymond RuimyCarole IchaiGilles BernardinJean DellamonicaPublished in: Annals of intensive care (2017)
This 10-year descriptive study, the largest cohort to date, provides early respiratory samples from seawater drowning patients. The microorganisms retrieved were either mostly part of the human oro-pharyngeal flora or Enterobacteriaceae and displayed low rates of antimicrobial resistance. Respiratory samples should nonetheless be collected at admittance to the ICU to avoid inappropriate treatment. Empiric use of cephalosporin could be restricted to severe patients or if Gram-negative bacilli are found after direct examination.
Keyphrases
- gram negative
- intensive care unit
- end stage renal disease
- multidrug resistant
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- endothelial cells
- mechanical ventilation
- cross sectional
- early onset
- patient reported outcomes
- acute respiratory distress syndrome
- combination therapy
- respiratory failure
- replacement therapy