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ÉDITIONS UNIVERSITAIRES EUROPÉENNES Pneumopathies acquises sous ventilation mécanique: Une réalité complexe en unité de soins intensifs

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Description

La ventilation mécanique, par abord trachéal intubation ou trachéotomie, est le traitement de suppléance commun à plusieurs motifs d’hospitalisation. Depuis l’avènement de la ventilation mécanique de longue durée lors de l’épidémie de poliomyélite.En unité de soins intensifs, la PAVM représente la première cause d’infection nosocomiale avec une incidence qui varie en fonction des méthodes diagnostiques et des populations étudiées. Ces infections sont liées à l’écologie bactérienne multiple et multi résistante (BMR) de ces unités. Complexe, mais non univoque : plusieurs théories étaient émises pour la compréhension des mécanismes physiopathologiques des PAVM, d’où la distinction des pneumonies « exogènes » (avec contamination par des germes provenant de l’extérieur), des pneumonies « endogènes ».Le diagnostic de certitude reste difficile, et le traitement peut s’avérer problématique du fait de l’émergence des résistances bactériennes aux antibiotiques. Cette complication pose un problème thérapeutique et pronostique. Elle reste grevée d’une lourde morbi mortalité. La mortalité est attribuée à la PAVM isolée dans 10 à 13% des cas.

Product Specifications

Format
paperback
Domain
Amazon UK
Release Date
02 August 2022
Listed Since
14 August 2022

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