Articles producció científica> Medicina i Cirurgia

Bronchial colonization and postoperative respiratory infections in patients undergoing lung cancer surgery

  • Dades identificatives

    Identificador: imarina:622316
    Handle: https://hdl.handle.net/20.500.11797/imarina622316
    Autors:
    Torres, AntoniCanalis, EmilioPuig de la Bellacasa, JorgeSerra, MireiaFerrer, MiquelCavalcanti, ManuelaBelda, Jose
    Resum:
    To evaluate the risk factors associated with postoperative respiratory infection in patients undergoing lung cancer surgery, with special emphasis on the perioperative pattern of airway colonization.Prospective cohort study.Department of Pneumology and Thoracic Surgery of a tertiary hospital.Seventy-eight consecutive patients undergoing lung cancer surgery were evaluated. Patients were followed up until hospital discharge or death.Fiberoptic bronchoscopies with bilateral protected specimen brush or bronchial aspirates were performed during anesthesia prior to the initiation of the surgical procedure.Sixty-five patients (83%) had perioperative bronchial colonization by either potentially pathogenic microorganisms (PPMs) [28 patients, 36%] or non-potentially pathogenic microorganisms (56 patients, 72%). The 24 patients (31%) with a postoperative respiratory infection (pneumonia, purulent tracheobronchitis, or pleural empyema) had significantly higher perioperative bronchial colonization by PPMs (15 patients [63%] vs 13 patients [24%], p = 0.003) and a higher bacterial index (mean +/- SD, 3.6 +/- 3.3 vs 0.9 +/- 1.4; p = 0.003), compared to patients without infection. The agreement between pathogens found in perioperative evaluation and during postoperative infection was total in 5 patients (21%), partial in 5 patients (21%), and no concordance in 14 patients (58%). In the multivariate analysis, the presence of perioperative airway colonization by a PPM (odds ratio [OR], 6.9; p = 0.001) and a higher postoperative pain score (OR, 4.1; p = 0.014) were independent predictors of postoperative respiratory infection.Adequate control of postoperative pain, as well as the conditions that potentially cause airway colonization by PPMs, could be beneficial in preventing postoperative

  • Altres:

    Autor segons l'article: Torres, Antoni Canalis, Emilio Puig de la Bellacasa, Jorge Serra, Mireia Ferrer, Miquel Cavalcanti, Manuela Belda, Jose
    Departament: Medicina i Cirurgia
    Autor/s de la URV: CANALÍS ARRAYAS, EMILIO
    Paraules clau: Risk Factors Etiology Diagnosis Respiratory Tract Infections Prospective Studies Middle Aged Male Humans Female Aged
    Resum: To evaluate the risk factors associated with postoperative respiratory infection in patients undergoing lung cancer surgery, with special emphasis on the perioperative pattern of airway colonization.Prospective cohort study.Department of Pneumology and Thoracic Surgery of a tertiary hospital.Seventy-eight consecutive patients undergoing lung cancer surgery were evaluated. Patients were followed up until hospital discharge or death.Fiberoptic bronchoscopies with bilateral protected specimen brush or bronchial aspirates were performed during anesthesia prior to the initiation of the surgical procedure.Sixty-five patients (83%) had perioperative bronchial colonization by either potentially pathogenic microorganisms (PPMs) [28 patients, 36%] or non-potentially pathogenic microorganisms (56 patients, 72%). The 24 patients (31%) with a postoperative respiratory infection (pneumonia, purulent tracheobronchitis, or pleural empyema) had significantly higher perioperative bronchial colonization by PPMs (15 patients [63%] vs 13 patients [24%], p = 0.003) and a higher bacterial index (mean +/- SD, 3.6 +/- 3.3 vs 0.9 +/- 1.4; p = 0.003), compared to patients without infection. The agreement between pathogens found in perioperative evaluation and during postoperative infection was total in 5 patients (21%), partial in 5 patients (21%), and no concordance in 14 patients (58%). In the multivariate analysis, the presence of perioperative airway colonization by a PPM (odds ratio [OR], 6.9; p = 0.001) and a higher postoperative pain score (OR, 4.1; p = 0.014) were independent predictors of postoperative respiratory infection.Adequate control of postoperative pain, as well as the conditions that potentially cause airway colonization by PPMs, could be beneficial in preventing postoperative respiratory infections after lung cancer surgery.
    Àrees temàtiques: Respiratory System Pulmonary and Respiratory Medicine Critical Care and Intensive Care Medicine Cardiology and Cardiovascular Medicine
    Adreça de correu electrònic de l'autor: emilio.canalis@urv.cat
    ISSN: 00123692
    Data d'alta del registre: 2020-02-07
    Referència a l'article segons font original: CHEST. (ISSN/ISBN: 00123692). 128(3): 1571-1579
    Referència de l'ítem segons les normes APA: Belda, Jose; Cavalcanti, Manuela; Ferrer, Miquel; Serra, Mireia; Puig de la Bellacasa, Jorge; Canalis, Emilio; Torres, Antoni (2005). Bronchial colonization and postoperative respiratory infections in patients undergoing lung cancer surgery. CHEST, 128(3), 1571-1579. DOI: 10.1378/chest.128.3.1571
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI de l'article: 10.1378/chest.128.3.1571
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2005
    Tipus de publicació: Journal Publications

  • Paraules clau:

    Cardiac & Cardiovascular Systems,Cardiology and Cardiovascular Medicine,Critical Care and Intensive Care Medicine,Critical Care Medicine,Pulmonary and Respiratory Medicine,Reproductive Biology,Respiratory System
    Risk Factors
    Etiology
    Diagnosis
    Respiratory Tract Infections
    Prospective Studies
    Middle Aged
    Male
    Humans
    Female
    Aged
    Respiratory System
    Pulmonary and Respiratory Medicine
    Critical Care and Intensive Care Medicine
    Cardiology and Cardiovascular Medicine
    00123692

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