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Inicio Enfermedades Infecciosas y Microbiología Clínica Advances in lower respiratory tract infections in critically ill patients
Información de la revista
Vol. 25. Núm. S1.
Programa de control externo de calidad SEIMC. Año 2006
Páginas 47-57 (enero 2007)
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Vol. 25. Núm. S1.
Programa de control externo de calidad SEIMC. Año 2006
Páginas 47-57 (enero 2007)
“Update on infectious diseases”
Acceso a texto completo
Advances in lower respiratory tract infections in critically ill patients
Avances en las infecciones del tracto respiratorio inferior en los pacientes en situación clínica crítica
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953
Patricia Muñoza,
Autor para correspondencia
pmunoz@micro.hggm.es

Correspondence: Dra. P. Muñoz. Hospital General Universitario Gregorio Marañón. Doctor Esquerdo, 46. 28007 Madrid. Spain.
, José María Aguadob, Julián Álvarezc, Luís Álvarez Rochad, Marcio Borgese, Jordi Carrataláf, Ramón Cisternag, José María Eirósh, Rosario Menéndezi, Jordi Relloj, Jesús Ruíz Contrerask, Jorge Solél, Antonio Torresm
a Department of Clinical Microbiology and Infectious Diseases. Hospital General Universitario Gregorio Marañón. Universidad Complutense. Madrid. Spain
b Department of Infectious Diseases. Hospital 12 de Octubre. Universidad Complutense. Madrid. Spain
c Departament of Anesthesiology. Hospital Clínico Universitario. Santiago de Compostela. Coruña. Spain
d Department of Intensive Care. Hospital Juan Canalejo. La Coruña. Spain
e Department of Intensive Care. Fundación Hospital Son Llàtzer. Palma de Mallorca. Spain
f Department of Infectious Diseases. Hospital Universitari de Bellvitge. Universidad de Barcelona. Spain
g Department of Clinical Microbiology. Hospital de Cruces. Barakaldo. Spain
h Department of Clinical Microbiology. Hospital Clínico Universitario. Facultad de Medicina de Valladolid. Spain
i Department of Pneumology. Hospital Universitario La Fe. Valencia. Spain
j Department of Intensive Care. Hospital Juan XXIII. Tarragona. Spain
k Department of Paediatrics. Hospital Universitario 12 de Octubre. Madrid. Spain
l Department of Intensive Care. Hospital Doctor Negrín. Las Palmas de Gran Canaria. Spain
m Departament of Pneumology and Intensive Care. Hospital Clinic. IDIBAPS. Facultad de Medicina. Universidad de Barcelona. Barcelona. Spain
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The present article is an update of the literature on lower respiratory tract infections in critical patients.

A multidisciplinary group of Spanish physicians with expertise in the field selected what they considered to be the most important papers published during 2004 and 2005. Each article was analyzed and discussed by one of the members of the panel.

A critical review of all these contributions constitutes the body of this paper.

After a review of the state of the art, papers selected in the field of new guidelines, risk factors, new diagnostic methods, antimicrobial therapy, and prevention are discussed.

Key words:
Pneumonia
Ventilator-associated pneumonia
Community-acquired pneumonia
Guidelines
Quantitative diagnostic methods
CPIS
Therapy

El artículo presente recoge una actualización de la bibliografía médica relativa a las infecciones del tracto respiratorio inferior en los pacientes en situación clínica crítica. Un grupo multidisciplinario de clínicos españoles con experiencia en este área seleccionó los que consideró los artículos más importantes sobre este campo publicados en 2004 y 2005. Cada artículo fue analizado y discutido por uno de los miembros del grupo.

El artículo presente recoge una revisión crítica de todas estas contribuciones. Tras una revisión de la situación actual, se comentaron los artículos seleccionados relativos a las nuevas directrices, los factores de riesgo, los nuevos métodos diagnósticos, el tratamiento antimicrobiano y la prevención.

Palabras clave:
Neumonía
Neumonía asociada a respirador
Neumonía extrahospitalaria
Directrices
Métodos diagnósticos cuantitativos
CPIS
Tratamiento
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