Articles producció científica> Medicina i Cirurgia

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

  • Datos identificativos

    Identificador: imarina:622316
    Handle: https://hdl.handle.net/20.500.11797/imarina622316
    Autores:
    Torres, AntoniCanalis, EmilioPuig de la Bellacasa, JorgeSerra, MireiaFerrer, MiquelCavalcanti, ManuelaBelda, Jose
    Resumen:
    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

  • Otros:

    Autor según el artículo: Torres, Antoni Canalis, Emilio Puig de la Bellacasa, Jorge Serra, Mireia Ferrer, Miquel Cavalcanti, Manuela Belda, Jose
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: CANALÍS ARRAYAS, EMILIO
    Palabras clave: Risk Factors Etiology Diagnosis Respiratory Tract Infections Prospective Studies Middle Aged Male Humans Female Aged
    Resumen: 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.
    Áreas temáticas: Respiratory System Pulmonary and Respiratory Medicine Critical Care and Intensive Care Medicine Cardiology and Cardiovascular Medicine
    Direcció de correo del autor: emilio.canalis@urv.cat
    ISSN: 00123692
    Fecha de alta del registro: 2020-02-07
    Referencia al articulo segun fuente origial: CHEST. (ISSN/ISBN: 00123692). 128(3): 1571-1579
    Referencia 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 Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI del artículo: 10.1378/chest.128.3.1571
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2005
    Tipo de publicación: Journal Publications

  • Palabras clave:

    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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