Antibiotic utilization: is there an effect on antimicrobial resistance?

abstract：BACKGROUND:COPD is characterized by chronic inflammation. In vitro and ex vivo observations suggest that this inflammatory response is partially resistant to the effect of corticosteroids and that low-dose theophylline can restore this response via enhancement of histone deacetylase (HDAC) activity. Whether this occurs...

journal_title：Chest

authors： Cosío BG,Shafiek H,Iglesias A,Yanez A,Córdova R,Palou A,Rodriguez-Roisin R,Peces-Barba G,Pascual S,Gea J,Sibila O,Barnes PJ,Agusti A

更新日期：2016-07-01 00:00:00

abstract：:A 32-year-old man was admitted to the emergency department of our hospital after experiencing a peripheral arterial embolism. Investigation of the possible embolic sources in an otherwise asymptomatic patient revealed the existence of a left ventricular diverticulum. The left ventricular diverticulum is a rare congeni...

journal_title：Chest

authors： Parthenakis FI,Kochiadakis GE,Patrianakos AP,Hamilos MI,Mitrouska I,Katsamouris AN,Vardas PE

更新日期：2005-04-01 00:00:00

abstract：CASE PRESENTATION:A 37-year-old man with poorly controlled type 2 diabetes presented with severe right-sided pleuritic chest pain, respiratory splinting, and cough. Two weeks earlier, he had been evaluated at an urgent care for cough and was prescribed a 5-day course of azithromycin for bronchitis. He then presented to...

journal_title：Chest

authors： Galant-Swafford J,Light M,Onaitis MW,Rawlings SA,Fierer J,Landsberg JW

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:Asbestos bodies (AB) in BAL cells are specific markers of asbestos exposure. METHODS:We retrospectively reviewed BAL cytocentrifuge slides of 30 utility workers with a history of asbestos exposure and 30 normal volunteers. BAL cytocentrifuge slides were blinded and scanned under 40 x light microscope. RESU...

journal_title：Chest

authors： Vathesatogkit P,Harkin TJ,Addrizzo-Harris DJ,Bodkin M,Crane M,Rom WN

更新日期：2004-09-01 00:00:00

abstract：:We conducted a prospective study to determine the effectiveness of protected bronchoalveolar lavage (PBAL) in diagnosing pneumonia in ventilated patients and the usefulness of bronchoscopic data in treating ventilated patients. Entrance criteria were (1) fever and a new or progressive infiltrate on chest roentgenogram...

journal_title：Chest

authors： Meduri GU,Wunderink RG,Leeper KV,Beals DH

更新日期：1992-02-01 00:00:00

abstract：:Previous studies on the bronchodilating effect of nitrates yielded conflicting results. We hypothesized that the concomitant bronchial vasodilatation induced by nitrates may limit the increase of airway patency due to bronchial smooth muscle relaxation. To test this hypothesis, we evaluated the bronchodilating effect ...

journal_title：Chest

authors： Rolla G,Bucca C,Brussino L

更新日期：1995-01-01 00:00:00

abstract：:Pulmonary hypertension and related pulmonary vascular diseases cause significant morbidities and high mortality and present many unique challenges toward improving outcomes in neonates, infants, and children. Differences between pediatric and adult disease are reflected in controversies regarding etiologies, classific...

journal_title：Chest

authors： Hopper RK,Abman SH,Ivy DD

更新日期：2016-07-01 00:00:00

abstract：:Two recent epidemiologic case-control studies suggested that fenoterol, a selective beta-adrenergic agonist, was associated with an increase in the risk of asthma death. The results of these studies were criticized because of methodologic problems in the choice and selection of control subjects; the different methods ...

journal_title：Chest

authors： Horwitz RI,Spitzer W,Buist S,Cockcroft D,Ernst P,Habbick B,Hemmelgarn B,McNutt M,Rebuck AS,Suissa S

更新日期：1991-12-01 00:00:00

abstract：:The acute pulmonary responses of athletes after short-term exposure to ambient concentrations of NO2 during heavy exercise have been examined. Intercollegiate male athletes were screened for history of cardiac disease, respiratory disease, allergic conditions and extensive exposure to pollutants. After completion of s...

journal_title：Chest

authors： Kim SU,Koenig JQ,Pierson WE,Hanley QS

更新日期：1991-04-01 00:00:00

abstract：OBJECTIVES:Physician productivity, practice expense, resource allocation, facilities, staff, and malpractice are variables in medical practice profitability. The ongoing challenge of collecting reliable and consistent data created an opportunity in 2001 for the American College of Chest Physicians (ACCP) Practice Admin...

journal_title：Chest

authors： Bauer JS,French KD

更新日期：2006-09-01 00:00:00

abstract：:COPD is a significant public health challenge, notably set to become the third leading cause of death and fifth leading cause of chronic disability worldwide by the next decade. Skeletal muscle impairment is now recognized as a disabling, extrapulmonary consequence of COPD that is associated with reduced quality of li...

journal_title：Chest

authors： Taivassalo T,Hussain SN

更新日期：2016-05-01 00:00:00

abstract：:The results of previously published studies indicate that calcium channel blockers are capable of competitively inhibiting cytochrome P-450 activity in hepatic microsomes, the pathway of theophylline metabolism. In addition, case reports have suggested that theophylline serum concentrations change when a calcium chann...

journal_title：Chest

authors： Christopher MA,Harman E,Hendeles L

更新日期：1989-02-01 00:00:00

abstract：STUDY OBJECTIVES:Pulmonary rehabilitation (PR) that includes exercise training can improve exercise tolerance and quality of life for patients with COPD. However, the degree of benefit from PR is variable. We hypothesized that the exercise response to PR varies depending on the initial factors that limit exercise. DES...

journal_title：Chest

authors： Plankeel JF,McMullen B,MacIntyre NR

更新日期：2005-01-01 00:00:00

abstract：STUDY OBJECTIVES:To detect intravascular hemolysis in patients with cardiac valve prostheses. Erythrocyte creatine, a marker of erythrocyte age that increases with shortening erythrocyte survival, was evaluated with other hemolytic markers and hemodynamic parameters. DESIGN:Prospective study. PATIENTS AND MEASUREMENT...

journal_title：Chest

authors： Okumiya T,Ishikawa-Nishi M,Doi T,Kamioka M,Takeuchi H,Doi Y,Sugiura T

更新日期：2004-06-01 00:00:00

abstract：:Acute chest syndrome complicating sickle cell anemia may progress to adult respiratory distress syndrome despite appropriate therapy. Extra-alveolar air leaks may complicate the care of these patients as conventional mechanical ventilation becomes increasingly difficult. We successfully treated a child with sickle cel...

journal_title：Chest

authors： Baird JS,Johnson JL,Escudero J,Powars DR

更新日期：1994-12-01 00:00:00

abstract：STUDY OBJECTIVE:This prospective study was performed in an attempt to evaluate (1) the rate of magnetic resonance imaging (MRI) demonstrating bone marrow (BM) abnormalities, (2) the correlation of these abnormalities with a pathologic malignant BM involvement, and (3) the possible modification of patients' usual diseas...

journal_title：Chest

authors： Milleron BJ,Le Breton C,Carette MF,Cadranel JL,Akoun GM

更新日期：1994-10-01 00:00:00

abstract：BACKGROUND:The presence of aerobic Gram-negative bacilli (AGNB) in the oropharynx can be either temporary or persistent. Prolonged colonization (ie, carriage) is distinguished from transient presence (ie, acquisition), which often occurs in healthy individuals but less frequently in those with underlying disease. Preva...

journal_title：Chest

authors： Mobbs KJ,van Saene HK,Sunderland D,Davies PD

更新日期：1999-06-01 00:00:00

abstract：:Various malformations of the aortic arch and great vessels have been reported in the literature, which reflects the complexity of their embryologic development. Most of them are of incidental finding and remain asymptomatic but can be responsible for respiratory or digestive symptoms and be associated with congenital ...

journal_title：Chest

authors： Verin AL,Creuze N,Musset D

更新日期：2010-08-01 00:00:00

abstract：:Pulmonary infections, which frequently occur during the early and late period following bone marrow transplantation for hematologic malignancies, are associated with significant morbidity and mortality. In this study the incidence, the infectious causes of pneumonia and the mortality related to pneumonia in 130 alloge...

journal_title：Chest

authors： Gentile G,Micozzi A,Girmenia C,Iori AP,Donati PP,Capria S,Martino P

更新日期：1993-08-01 00:00:00

abstract：:It has been suggested that spirometry should be incorporated into the routine examination of every patient, analogous to obtaining vital signs. To determine the impact of spirometry on the management of outpatients with respiratory disease, spirometry was performed on 150 consecutive patients (123 men and 27 women, me...

journal_title：Chest

authors： Owens MW,Anderson WM,George RB

更新日期：1991-03-01 00:00:00

abstract：:The history of the use of beta-blockers for congestive heart failure, beginning with the innovative seminal study by the Swedish group in 1975 to studies in 1995, is reviewed and shows that almost all trials favored the use of beta-blockers. They tended to demonstrate an increase in ejection fraction, a decrease in le...

journal_title：Chest

authors： Constant J

更新日期：1998-03-01 00:00:00

abstract：:The prevalence of periodic limb movements (PLM) during sleep and their effect on sleep and daytime alertness were determined in 23 men with severe, stable congestive heart failure (CHF) and 9 healthy control subjects. Each subject had overnight polysomnography and the following day completed a subjective assessment of...

journal_title：Chest

authors： Hanly PJ,Zuberi-Khokhar N

更新日期：1996-06-01 00:00:00

abstract：OBJECTIVE:To determine the risk of acquiring ventilator-associated pneumonia (VAP) and the impact on costs when extending ventilator circuit change intervals beyond 2 days to 7 and 30 days. DESIGN:Prospective 4-year review of mechanically ventilated patients. SETTING:The respiratory and medical ICUs of an 800-bed ter...

journal_title：Chest

authors： Fink JB,Krause SA,Barrett L,Schaaff D,Alex CG

更新日期：1998-02-01 00:00:00

abstract：:The influence of positive expiratory pressure (PEP) applied during inhalation of a beta 2-agonist in treatment of bronchial asthma was investigated in a randomized crossover study with two-week treatment periods. In one period, two puffs (0.5 mg) of terbutaline was given from a metered dose inhaler and inhaled through...

journal_title：Chest

authors： Frischknecht-Christensen E,Nørregaard O,Dahl R

更新日期：1991-08-01 00:00:00

abstract：OBJECTIVES:To measure tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) in pleural effusions caused by tuberculosis (TB) and malignancy and their relationship with plasminogen activator inhibitor type I (PAI-1) and tissue type plasminogen activator (tPA), and to compare the differences between tu...

journal_title：Chest

authors： Hua CC,Chang LC,Chen YC,Chang SC

更新日期：1999-11-01 00:00:00

abstract：:The factors that contribute to the symptoms of breathlessness and fatigue, and that limit exercise capacity in patients with chronic heart failure are poorly understood. Recent evidence suggests that the major mechanism is not related to central hemodynamics but to a reduction of skeletal muscle mass and diminished bl...

journal_title：Chest

authors： Poole-Wilson PA,Buller NP,Lindsay DC

更新日期：1992-05-01 00:00:00

abstract：:Based on the theory that obstructive (OSA) and central (CSA) sleep apneas share common pathophysiologic mechanisms, we attempted to treat eight patients with predominantly CSA by continuous positive airway pressure (CPAP). All patients exhibited repetitive episodes of CSA and mixed sleep apneas (MSA) in the supine pos...

journal_title：Chest

authors： Issa FG,Sullivan CE

更新日期：1986-08-01 00:00:00

abstract：:We investigated the utility of a noninvasive respiratory inductive plethysmograph (RIP) to continuously monitor and record the breathing pattern of 44 patients who had been mechanically ventilated. Seven patients deteriorated on intermittent mandatory ventilatory rate of zero; seven deteriorated within 48 h following ...

journal_title：Chest

authors： Krieger BP,Ershowsky P

更新日期：1988-08-01 00:00:00

abstract：BACKGROUND:Limited data are available on the impact of time to ICU admission and outcomes for patients with severe community acquired pneumonia (CAP). Our objective was to examine the association of time to ICU admission and 30-day mortality in patients with severe CAP. METHODS:A retrospective cohort study of 161 ICU ...

journal_title：Chest

authors： Restrepo MI,Mortensen EM,Rello J,Brody J,Anzueto A

更新日期：2010-03-01 00:00:00

abstract：:Advances in critical care practice have led to a substantial decline in the incidence of ARDS over the past several years. Low tidal volume ventilation, timely resuscitation and antimicrobial administration, restrictive transfusion practices, and primary prevention of aspiration and nosocomial pneumonia have likely co...

journal_title：Chest

authors： Beitler JR,Schoenfeld DA,Thompson BT

更新日期：2014-10-01 00:00:00