当前位置： SCI文献检索 > JOURNAL OF CRITICAL CARE期刊下所有文献 > Comparison of traditional microbiological culture and 16S polymerase chain reaction analyses for identification of preoperative airway colonization for patients undergoing lung resection.

Comparison of traditional microbiological culture and 16S polymerase chain reaction analyses for identification of preoperative airway colonization for patients undergoing lung resection.

Abstract：

PURPOSE:Preoperative airway colonization is associated with increased risk of postoperative respiratory complications following lung resection. This study compares the rates of preoperative lower respiratory tract colonization identified by traditional culture and novel 16S polymerase chain reaction (PCR) tests. MATERIALS AND METHODS:Preoperative sputum and bronchoalveolar lavage (BAL) samples for 49 lung resection patients underwent culture and 16S PCR analyses. Rates of positive test results were determined and relationships between test results and suspected postoperative respiratory tract infection and hospital length of stay (LOS) were investigated. RESULTS:Preoperative BAL cultures were positive for 29 (59.2%) patients (population estimate 95%CI 45.2%-71.8%). 16S PCR tests were positive for 28 (57.1%) patients (population estimate 95%CI 43.3%-70.0%). 17 (34.7%) patients suffered suspected postoperative respiratory tract infection (population estimate 95%CI 22.9%-48.7%). Positive 16S PCR results tended to be associated with longer LOS (median 7.5 days vs 4.0 days for negative, p = 0.08) and increased risk of suspected postoperative respiratory tract infection (46.4% for positive vs 19.0% for negative, p = 0.07). CONCLUSIONS:Rates of colonization identified by culture and 16S PCR analyses of BAL samples were similar. Future research should attempt to clarify associations between airway colonization identified by 16S PCR and outcomes. 16S PCR may be useful when stratifying risk of postoperative respiratory complications.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Howitt SH,Blackshaw D,Fontaine E,Hassan I,Malagon I

doi

10.1016/j.jcrc.2018.04.013

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

84-87

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(17)31987-1

journal_volume

46

pub_type

杂志文章

相关文献

JOURNAL OF CRITICAL CARE文献大全
  • Patient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions.

    abstract：:Patient ventilatory dyssynchrony (PVD) is a mismatch between the respiratory drive of the patient and ventilatory assistance. It is a complex event seen in almost all ventilated patients and at any ventilator mode, with uncertain significance and prognosis. Due to its different pathophysiological mechanisms, there is ...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2020.07.016

    authors： Damiani LF,Bruhn A,Retamal J,Bugedo G

    更新日期：2020-12-01 00:00:00

  • Red cell distribution width in predicting 30-day mortality in patients with pulmonary embolism.

    abstract：PURPOSE:The aim of the study was to investigate red cell distribution width (RDW) in predicting 30-day mortality in patients with pulmonary embolism (PE). METHODS:A single-center, retrospective study design was used between January 1, 2014, and February 1, 2016. The primary end point was 30-day mortality after admissi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.09.024

    authors： Zhou XY,Chen HL,Ni SS

    更新日期：2017-02-01 00:00:00

  • N-terminal pro-brain natriuretic peptide and cardiac troponin I for the prognostic utility in elderly patients with severe sepsis or septic shock in intensive care unit: A retrospective study.

    abstract：BACKGROUNDS:Using biomarkers to predict mortality in patient with severe sepsis or septic shock is of importance, as these patients frequently have high mortality and unsatisfied outcome. N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin I (cTnI) play extremely important roles in prognostic valu...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.12.008

    authors： Cheng H,Fan WZ,Wang SC,Liu ZH,Zang HL,Wang LZ,Liu HJ,Shen XH,Liang SQ

    更新日期：2015-06-01 00:00:00

  • Predictive value of plasma biomarkers for mortality and organ failure development in patients with acute respiratory distress syndrome.

    abstract：PURPOSE:To evaluate the predictive value of 6 different biomarkers in the development of multiple-organ failure (MOF) and mortality in a contemporary prospective cohort of acute respiratory distress syndrome (ARDS). METHODS:Patients with ARDS admitted to a tertiary referral center during an 8-month period were include...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.09.001

    authors： Cartin-Ceba R,Hubmayr RD,Qin R,Peters S,Determann RM,Schultz MJ,Gajic O

    更新日期：2015-02-01 00:00:00

  • A study of once-daily amikacin with low peak target concentrations in intensive care unit patients: pharmacokinetics and associated outcomes.

    abstract：PURPOSE:The aim of this study was to assess the pharmacokinetics of individualized amikacin single-dosage regimens targeting low peak serum concentrations in a population of intensive care unit (ICU) patients, and to describe the outcomes associated with this dosing strategy. MATERIALS AND METHODS:In this prospective,...

    journal_title：Journal of critical care

    pub_type： 临床试验,杂志文章

    doi：10.1053/jcrc.2003.50003

    authors： Bacopoulou F,Markantonis SL,Pavlou E,Adamidou M

    更新日期：2003-06-01 00:00:00

  • Anti-aging factor, serum alpha-Klotho, as a marker of acute physiological stress, and a predictor of ICU mortality, in patients with septic shock.

    abstract：PURPOSE:Genetic deletions decreasing serum alpha-Klotho (alpha-KL) have been associated with rapid aging, multi-organ failure and increased mortality in experimental sepsis. We hypothesized that lower alpha-KL obtained at the onset of septic shock correlates with higher mortality. MATERIALS AND METHODS:Prospective coh...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.11.023

    authors： Abdelmalik PA,Stevens RD,Singh S,Skinner J,Carhuapoma JR,Noel S,Johns R,Fuchs RJ

    更新日期：2018-04-01 00:00:00

  • Inter-hospital transfer is associated with increased mortality and costs in severe sepsis and septic shock: An instrumental variables approach.

    abstract：PURPOSE:The objective of this study was to evaluate the impact of regionalization on sepsis survival, to describe the role of inter-hospital transfer in rural sepsis care, and to measure the cost of inter-hospital transfer in a predominantly rural state. MATERIALS AND METHODS:Observational case-control study using sta...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.07.016

    authors： Mohr NM,Harland KK,Shane DM,Ahmed A,Fuller BM,Torner JC

    更新日期：2016-12-01 00:00:00

  • The effect of framing on surrogate optimism bias: A simulation study.

    abstract：PURPOSE:To explore the effect of emotion priming and physician communication behaviors on optimism bias. MATERIALS AND METHODS:We conducted a 5 × 2 between-subject randomized factorial experiment using a Web-based interactive video designed to simulate a family meeting for a critically ill spouse/parent. Eligibility i...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2015.11.015

    authors： Patel D,Cohen ED,Barnato AE

    更新日期：2016-04-01 00:00:00

  • Branched DNA-based Alu quantitative assay for cell-free plasma DNA levels in patients with sepsis or systemic inflammatory response syndrome.

    abstract：:Cell-free circulating DNA (cf-DNA) can be detected by various of laboratory techniques. We described a branched DNA-based Alu assay for measuring cf-DNA in septic patients. Compared to healthy controls and systemic inflammatory response syndrome (SIRS) patients, serum cf-DNA levels were significantly higher in septic ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.10.013

    authors： Hou YQ,Liang DY,Lou XL,Zhang M,Zhang ZH,Zhang LR

    更新日期：2016-02-01 00:00:00

  • Changing trends in the use of seizure prophylaxis after traumatic brain injury: a shift from phenytoin to levetiracetam.

    abstract：PURPOSE:Current guidelines for traumatic brain injury (TBI) recommend antiepileptic drugs (AEDs) for 7 days after injury to decrease posttraumatic seizure risk. Phenytoin decreases seizure risk 73% vs placebo during this time. Levetiracetam (LEV) is an alternative; however, no published data validate comparable efficac...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2012.11.020

    authors： Kruer RM,Harris LH,Goodwin H,Kornbluth J,Thomas KP,Slater LA,Haut ER

    更新日期：2013-10-01 00:00:00

  • The effect of small versus large clog size on emergency response time: A randomized controlled trial.

    abstract：OBJECTIVES:To assess the effect on healthcare professional emergency response time and safety of small compared to large clog size. DESIGN:Randomized controlled trial. SETTING:The intensive care unit of a single university medical centre in The Netherlands. PARTICIPANTS:Intensive care medicine professionals. INTERV...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2020.07.028

    authors： Elbers PWG,de Grooth HJ,Girbes ARJ

    更新日期：2020-12-01 00:00:00

  • Mobilization of ventilated patients in the intensive care unit: An elicitation study using the theory of planned behavior.

    abstract：PURPOSE:Early mobilization in intensive care unit (ICU) is safe, feasible, and beneficial. However, mobilization frequently does not occur in practice. The study objective was to elicit attitudinal, normative, and control beliefs (barriers and enablers) toward the mobilization of ventilated patients, to inform developm...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.08.010

    authors： Holdsworth C,Haines KJ,Francis JJ,Marshall A,O'Connor D,Skinner EH

    更新日期：2015-12-01 00:00:00

  • Discordance in interpretation of chest radiographs between pediatric intensivists and a radiologist: impact on patient management.

    abstract：PURPOSE:When radiologists are not available, chest radiographs (CXRs) of pediatric intensive care unit (PICU) patients are commonly interpreted by pediatric intensivists. We prospectively investigated the frequency of errors in CXR interpretation by pediatric intensivists and their impact on patient management. MATERI...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.05.016

    authors： Nesterova GV,Leftridge CA Jr,Natarajan AR,Appel HJ,Bautista MV,Hauser GJ

    更新日期：2010-06-01 00:00:00

  • Critically ill cancer patient in intensive care unit: issues that arise.

    abstract：:Advances in the management of malignancies and organ failures have led to substantial increases in survival as well as in the number of cancer patients requiring intensive care unit (ICU) admission. Although effectiveness of ICU in this group remains controversial, the heterogeneity of its population in terms of the n...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2014.04.007

    authors： Kostakou E,Rovina N,Kyriakopoulou M,Koulouris NG,Koutsoukou A

    更新日期：2014-10-01 00:00:00

  • Selective digestive decontamination in critically ill children: A survey of Canadian providers.

    abstract：BACKGROUND:Selective digestive decontamination of the digestive tract involves the routine administration of oral, gastric, and intravenous antibiotics to mechanically ventilated children to prevent hospital-acquired infections. It has a strong evidence base in adults, with limited pediatric evidence. Current utilizati...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.02.024

    authors： Murthy S,Pathan N,Cuthbertson BH

    更新日期：2017-06-01 00:00:00

  • Increased incidence of diuretic use in critically ill obese patients.

    abstract：OBJECTIVE:Sodium retention occurs commonly in cardiac and liver disease, requiring the administration of diuretics to restore fluid balance. Whether obesity is associated with sodium retention has not been fully evaluated. METHODS:In a large single-center cohort of critically ill patients, we evaluated whether admissi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.01.023

    authors： de Louw EJ,Sun PO,Lee J,Feng M,Mark RG,Celi LA,Mukamal KJ,Danziger J

    更新日期：2015-06-01 00:00:00

  • Soluble Fas and soluble Fas ligand levels in patients with acute hepatic failure.

    abstract：PURPOSE:The Fas ligand (FasL)/Fas system is an apoptosis induction system that plays an important role in homeostasis and biophylaxis. We measured tumor necrosis factor alpha (TNF-alpha), soluble FasL (sFasL), and soluble Fas (sFas) in patients with acute hepatic failure to determine the relation between such failure a...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1053/jcrc.2001.25470

    authors： Nakae H,Narita K,Endo S

    更新日期：2001-06-01 00:00:00

  • Ultrasound-guided laryngeal air column width difference and the cuff leak volume in predicting the effectiveness of steroid therapy on postextubation stridor in adult. Are they useful?

    abstract：OBJECTIVE:To evaluate the effectiveness of steroids therapy on postextubation stridor (PES) depending on the clinical response, the ultrasound guided laryngeal air column width difference (LACWD) and the cuff leak volume (CLV). DESIGN:Prospective, observer-blinded study. SETTING:Carried out in intensive care unit in ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.07.007

    authors： El-Baradey GF,El-Shmaa NS,Elsharawy F

    更新日期：2016-12-01 00:00:00

  • Predicting the need for nonstandard tracheostomy tubes in critically ill patients.

    abstract：PURPOSE:Few guidelines exist regarding the selection of a particular type or size of tracheostomy tube. Although nonstandard tubes can be placed over the percutaneous kit dilator, clinicians often place standard tracheostomy tubes and change to nonstandard tubes only after problems arise. This practice risks early trac...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.05.025

    authors： Pandian V,Hutchinson CT,Schiavi AJ,Feller-Kopman DJ,Haut ER,Parsons NA,Lin JS,Gorbatkin C,Angamuthu PG,Miller CR,Mirski MA,Bhatti NI,Yarmus LB

    更新日期：2017-02-01 00:00:00

  • The effects of transjugular intrahepatic portosystemic stent shunt on systemic cardiocirculatory parameters.

    abstract：PURPOSE:We aimed to evaluate the effects of transjugular intrahepatic portosystemic stent shunt (TIPS) on systemic cardiocirculatory parameters in patients treated with TIPS for portal hypertension-associated complications. MATERIALS AND METHODS:This prospective study was conducted in an intensive care unit of a Germa...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.06.028

    authors： Saugel B,Mair S,Meidert AS,Phillip V,Messer M,Nennstiel S,Berger H,Gaa J,Wagner JY,Schneider H,Schmid RM,Huber W

    更新日期：2014-12-01 00:00:00

  • Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: The utility of the ROX index.

    abstract：PURPOSE:The purpose of the study is to describe early predictors and to develop a prediction tool that accurately identifies the need for mechanical ventilation (MV) in pneumonia patients with hypoxemic acute respiratory failure (ARF) treated with high-flow nasal cannula (HFNC). MATERIALS AND METHODS:This is a 4-year ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.05.022

    authors： Roca O,Messika J,Caralt B,García-de-Acilu M,Sztrymf B,Ricard JD,Masclans JR

    更新日期：2016-10-01 00:00:00

  • Hemodynamic effects following injection of venom from the scorpion Leiurus quinquestriatus.

    abstract：PURPOSE:The present study tested the hypothesis that scorpion sting induces left ventricular (LV) hypokinesia and myocardial ischemia shortly after injection due to reduction of coronary blood flow (CBF) and increased oxygen demand. METHODS:In 5 mechanically ventilated, open-chest dogs, we measured LV function followi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/0883-9441(94)90024-8

    authors： Tarasiuk A,Sofer S,Huberfeld SI,Scharf SM

    更新日期：1994-06-01 00:00:00

  • The relationship between self-report and performance-based measures of physical function following an ICU stay.

    abstract：PURPOSE:To examine relationships between self-report and performance-based measures of physical function in ICU patients randomized to standardized rehabilitation therapy (SRT) or usual care (UC). METHODS:Physical function was assessed in 257 ICU patients using self-report (physical functioning scale of the SF-36 (SF-...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.01.020

    authors： Berry MJ,Love NJ,Files DC,Bakhru RN,Morris PE

    更新日期：2019-06-01 00:00:00

  • Sepsis and organ system failure are major determinants of post-intensive care unit mortality.

    abstract：PURPOSE:The aim of the study was to investigate predictors of post-intensive care unit (ICU) in-hospital mortality with special emphasis on the impact of sepsis and organ system failure. METHODS:This study is a subanalysis of the database from the observational Sepsis Occurrence in Acutely Ill Patients study conducted...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2007.09.006

    authors： Sakr Y,Vincent JL,Ruokonen E,Pizzamiglio M,Installe E,Reinhart K,Moreno R,Sepsis Occurrence in Acutely Ill Patients Investigators.

    更新日期：2008-12-01 00:00:00

  • Postobstructive pulmonary edema.

    abstract：:Postobstructive pulmonary edema (POPE; also known as negative pressure pulmonary edema) is a potentially life-threatening complication in which pulmonary edema occurs shortly after the relief of an upper airway obstruction. The incidence of POPE has been reported to be as high as 1 in 1000 general anesthetic cases and...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2009.12.014

    authors： Udeshi A,Cantie SM,Pierre E

    更新日期：2010-09-01 00:00:00

  • Pressure ulcer incidence and risk factors in ventilated intensive care patients.

    abstract：PURPOSE:The aim of this study was to determine the incidence of pressure ulcers (PUs) in ventilated patients in all intensive care units (ICUs) in Granada (Spain) and identify risk factors for their development. MATERIALS AND METHODS:A prospective cohort study in 9 medical-surgical ICUs was conducted. Two hundred nine...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.09.002

    authors： Manzano F,Navarro MJ,Roldán D,Moral MA,Leyva I,Guerrero C,Sanchez MA,Colmenero M,Fernández-Mondejar E,Granada UPP Group.

    更新日期：2010-09-01 00:00:00

  • Opinions of families, staff, and patients about family participation in care in intensive care units.

    abstract：PURPOSE:The aims of the study were to assess opinions of caregivers, families, and patients about involvement of families in the care of intensive care unit (ICU) patients; to evaluate the prevalence of symptoms of anxiety and depression in family members; and to measure family satisfaction with care. MATERIALS AND ME...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2010.03.001

    authors： Garrouste-Orgeas M,Willems V,Timsit JF,Diaw F,Brochon S,Vesin A,Philippart F,Tabah A,Coquet I,Bruel C,Moulard ML,Carlet J,Misset B

    更新日期：2010-12-01 00:00:00

  • Pleurodesis using autologous blood: a new concept in the management of persistent air leak in acute respiratory distress syndrome.

    abstract：OBJECTIVE:Pneumothorax is present as a frequent complication in acute respiratory distress syndrome (ARDS). Persistent air leak (PAL) prolongs pneumothorax in 2% of cases of ARDS, increasing the rate of mortality by 26%. Pleurodesis using autologous blood (PAB) is an effective method in cases of oncological pulmonary s...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2005.10.003

    authors： Martínez-Escobar S,Ruiz-Bailén M,Lorente-Acosta MJ,Vicente-Rull JR,Martínez-Coronel JF,Rodríguez-Cuartero A

    更新日期：2006-06-01 00:00:00

  • Quick sequential organ failure assessment compared to systemic inflammatory response syndrome for predicting sepsis in emergency department.

    abstract：PURPOSE:It is unclear whether quick sequential (sepsis-related) organ failure assessment (qSOFA) also has prognostic value for organ failure in patients with a suspected infection. The aim of this study was to determine whether qSOFA has prognostic value when compared to systemic inflammatory response syndrome (SIRS) i...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.06.020

    authors： Park HK,Kim WY,Kim MC,Jung W,Ko BS

    更新日期：2017-12-01 00:00:00

  • A critical appraisal of the accuracy of the RIFLE and AKIN classifications in defining "acute kidney insufficiency" in critically ill patients.

    abstract：PURPOSE:The lack of a consensus definition for acute kidney injury (AKI) has led to a great deal of discrepancies and confusion in the literature in this field. Thus, the RIFLE (Risk of renal dysfunction, Injury to the kidney, Failure of kidney function, Loss of kidney function and End-stage renal disease) and Acute Ki...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2012.06.012

    authors： Valette X,du Cheyron D

    更新日期：2013-04-01 00:00:00