دورية أكاديمية
أعرض في EDS

A Systematic Review and Meta-analysis of Ventilator-associated Pneumonia in Adults in Asia: An Analysis of National Income Level on Incidence and Etiology.

التفاصيل البيبلوغرافية
العنوان: A Systematic Review and Meta-analysis of Ventilator-associated Pneumonia in Adults in Asia: An Analysis of National Income Level on Incidence and Etiology.
المؤلفون: Bonell A; Oxford Clinical Research Unit Hanoi, National Hospital for Tropical Diseases, Vietnam., Azarrafiy R; University of Miami Miller School of Medicine, Florida., Huong VTL; Oxford Clinical Research Unit Hanoi, National Hospital for Tropical Diseases, Vietnam., Viet TL; Oxford Clinical Research Unit Hanoi, National Hospital for Tropical Diseases, Vietnam., Phu VD; National Hospital for Tropical Diseases., Dat VQ; Hanoi Medical University, Vietnam., Wertheim H; Department of Medical Microbiology, Radboud Center of Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.; Nuffield Department of Medicine, University of Oxford, United Kingdom., van Doorn HR; Oxford Clinical Research Unit Hanoi, National Hospital for Tropical Diseases, Vietnam., Lewycka S; Oxford Clinical Research Unit Hanoi, National Hospital for Tropical Diseases, Vietnam., Nadjm B; Oxford Clinical Research Unit Hanoi, National Hospital for Tropical Diseases, Vietnam.
المصدر: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [Clin Infect Dis] 2019 Jan 18; Vol. 68 (3), pp. 511-518.
نوع المنشور: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: United States NLM ID: 9203213 Publication Model: Print Cited Medium: Internet ISSN: 1537-6591 (Electronic) Linking ISSN: 10584838 NLM ISO Abbreviation: Clin Infect Dis Subsets: MEDLINE
أسماء مطبوعة: Publication: Jan. 2011- : Oxford : Oxford University Press
Original Publication: Chicago, IL : The University of Chicago Press, c1992-
مواضيع طبية MeSH: Bacteria/*isolation & purification , Bacterial Infections/*epidemiology , Bacterial Infections/*etiology , Pneumonia, Ventilator-Associated/*epidemiology , Pneumonia, Ventilator-Associated/*etiology, Adult ; Asia/epidemiology ; Bacteria/classification ; Developed Countries ; Developing Countries ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Prevalence
مستخلص: Background: Ventilator-associated pneumonia (VAP) is the commonest hospital-acquired infection (HAI) in intensive care. In Asia, VAP is increasingly caused by resistant gram-negative organisms. Despite the global antimicrobial resistance crisis, the epidemiology of VAP is poorly documented in Asia.
Methods: We systematically reviewed literature published on Ovid Medline, Embase Classic, and Embase from 1 January 1990 to 17 August 2017 to estimate incidence, prevalence, and etiology of VAP. We performed a meta-analysis to give pooled rates and rates by country income level.
Results: Pooled incidence density of VAP was high in lower- and upper-middle-income countries and lower in high-income countries (18.5, 15.2, and 9.0 per 1000 ventilator-days, respectively). Acinetobacter baumannii (n = 3687 [26%]) and Pseudomonas aeruginosa (n = 3176 [22%]) were leading causes of VAP; Staphylococcus aureus caused 14% (n = 1999). Carbapenem resistance was common (57.1%).
Conclusions: VAP remains a common cause of HAI, especially in low- and middle-income countries, and antibiotic resistance is high.
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معلومات مُعتمدة: United Kingdom WT_ Wellcome Trust
تواريخ الأحداث: Date Created: 20180709 Date Completed: 20200305 Latest Revision: 20240408
رمز التحديث: 20240408
مُعرف محوري في PubMed: PMC6336913
DOI: 10.1093/cid/ciy543
PMID: 29982303
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-6591
DOI:10.1093/cid/ciy543