Latest & greatest articles for pneumonia

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This page lists the very latest high quality evidence on pneumonia and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Top results for pneumonia

421. Influence of bacterial resistances on the efficiency of antibiotic treatments for community-acquired pneumonia

Influence of bacterial resistances on the efficiency of antibiotic treatments for community-acquired pneumonia Influence of bacterial resistances on the efficiency of antibiotic treatments for community-acquired pneumonia Influence of bacterial resistances on the efficiency of antibiotic treatments for community-acquired pneumonia Sabes-Figuera R, Segu J L, Puig-Junoy J, Torres A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED (...) . Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The objective of the study was to estimate the cost-effectiveness of of oral antibiotics used in Spain for the ambulatory treatment of community-acquired pneumonia. The authors concluded that moxifloxacin was the most effective and efficient option. Overall, the quality of the methodology was satisfactory

2008 NHS Economic Evaluation Database.

422. A cost-effectiveness analysis of antimicrobial treatment of community-acquired pneumonia taking into account resistance in Belgium Full Text available with Trip Pro

A cost-effectiveness analysis of antimicrobial treatment of community-acquired pneumonia taking into account resistance in Belgium A cost-effectiveness analysis of antimicrobial treatment of community-acquired pneumonia taking into account resistance in Belgium A cost-effectiveness analysis of antimicrobial treatment of community-acquired pneumonia taking into account resistance in Belgium Martin M, Moore L, Quilici S, Decramer M, Simoens S Record Status This is a critical abstract (...) of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The aim of the study was to examine the cost-effectiveness of four outpatient antimicrobial treatments for mild to moderate community-acquired pneumonia (CAP), taking into account the impact of resistance in Belgium, from the perspective

2008 NHS Economic Evaluation Database.

423. Oral decontamination with chlorhexidine reduced ventilator associated pneumonia in patients needing mechanical ventilation for 48 hours Full Text available with Trip Pro

Oral decontamination with chlorhexidine reduced ventilator associated pneumonia in patients needing mechanical ventilation for 48 hours Oral decontamination with chlorhexidine reduced ventilator associated pneumonia in patients needing mechanical ventilation for ⩾48 hours | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please (...) see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Oral decontamination with chlorhexidine reduced ventilator associated pneumonia in patients needing mechanical

2008 Evidence-Based Nursing

424. Ventilator-associated pneumonia--the wrong quality measure for benchmarking. (Abstract)

Ventilator-associated pneumonia--the wrong quality measure for benchmarking. Legislators, payers, and quality-of-care advocates across the United States are considering requiring hospitals to report ventilator-associated pneumonia rates as a way to benchmark and reward quality of care. Accurate diagnosis of ventilator-associated pneumonia, however, is notoriously difficult because several common complications of critical care can mimic the clinical appearance of ventilator-associated pneumonia (...) . The challenge is compounded by substantial subjectivity inherent in the current surveillance definition. These sources of variability make ventilator-associated pneumonia rates difficult to acquire, interpret, and compare both within and among institutions. Ventilator-associated pneumonia should be excluded from compulsory reporting initiatives until we develop and validate more objective outcome measures that meaningfully reflect quality of care for ventilated patients.

2007 Annals of Internal Medicine

425. WITHDRAWN: Antibiotics for preventing pneumonia in children with measles. (Abstract)

WITHDRAWN: Antibiotics for preventing pneumonia in children with measles. Measles causes more than a million deaths a year, of which most are children under five years of age who die from pneumonia.The objective of this review was to assess the effects of antibiotics given to children with measles on reducing pneumonia or mortality, and to assess whether antibiotics should be given to all children with measles in communities with a high fatality rate.We searched MEDLINE (1966 - 1999), EMBASE (...) . In four studies, the incidence of pneumonia in the control group was similar to that in the antibiotic prophylaxis group; in the other two studies, the incidence of pneumonia was unusually high in the control group so these children had a higher complication rate than the antibiotic group. Four of the 764 children given antibiotics died compared with one of the 637 controls.The quality of the trials reviewed was poor, and they provide very weak evidence for giving antibiotics to all children

2007 Cochrane

426. Can history and exam alone reliably predict pneumonia? (Abstract)

Can history and exam alone reliably predict pneumonia? BACKGROUND: Prediction rules based on clinical information have been developed to support the diagnosis of pneumonia and help limit the use of expensive diagnostic tests. However, these prediction rules need to be validated in the primary care setting. METHODS: Adults who met our definition of lower respiratory tract infection (LRTI) were recruited for a prospective study on the causes of LRTI, between November 15, 1998 and June 1, 2001 (...) in the Leiden region of The Netherlands. Clinical information was collected and chest radiography was performed. A literature search was also done to find prediction rules for pneumonia. RESULTS: 129 patients--26 with pneumonia and 103 without--were included, and 6 prediction rules were applied. Only the model with the addition of a test for C-reactive protein had a significant area under the curve of 0.69 (95% confidence interval [CI], 0.58-0.80), with a positive predictive value of 47% (95% CI, 23-71

2007 EvidenceUpdates

427. Mechanical ventilation with heated humidifiers or with heat and moisture exchangers with microbiological filters did not reduce ventilator associated pneumonia in adults Full Text available with Trip Pro

Mechanical ventilation with heated humidifiers or with heat and moisture exchangers with microbiological filters did not reduce ventilator associated pneumonia in adults Mechanical ventilation with heated humidifiers or with heat and moisture exchangers with microbiological filters did not reduce ventilator associated pneumonia in adults | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your (...) or with heat and moisture exchangers with microbiological filters did not reduce ventilator associated pneumonia in adults Article Text Treatment Mechanical ventilation with heated humidifiers or with heat and moisture exchangers with microbiological filters did not reduce ventilator associated pneumonia in adults Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink

2007 Evidence-Based Nursing

428. Oral Decontamination with Chlorhexidine Reduces the Incidence of Ventilator-associated Pneumonia.

Oral Decontamination with Chlorhexidine Reduces the Incidence of Ventilator-associated Pneumonia. PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2007 PedsCCM Evidence-Based Journal Club

429. Review: empirical atypical coverage does not reduce mortality in hospitalised patients with community acquired pneumonia

Review: empirical atypical coverage does not reduce mortality in hospitalised patients with community acquired pneumonia Review: empirical atypical coverage does not reduce mortality in hospitalised patients with community acquired pneumonia | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using (...) your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: empirical atypical coverage does not reduce mortality in hospitalised patients with community acquired pneumonia Article Text

2007 Evidence-Based Medicine

430. Auscultating to Diagnose Pneumonia

Auscultating to Diagnose Pneumonia BestBets: Auscultating to Diagnose Pneumonia Auscultating to Diagnose Pneumonia Report By: Dr Saima Saeed - Clinical Fellow Search checked by Rick Body - Specialist Registrar Institution: St George's Hospital, London Date Submitted: 20th October 2006 Date Completed: 20th April 2007 Last Modified: 19th April 2007 Status: Green (complete) Three Part Question In [adult patients presenting to the Emergency Department with suspected community acquired pneumonia (...) ] is [auscultation] reliable in [confirming the diagnosis]? Clinical Scenario A 50 year-old lady presents with a fever and cough. Physical examination of her chest reveals crackles in the left base. You wonder whether this means that you can be confident of a diagnosis of pneumonia before the results of further investigations are obtained. Search Strategy Medline 1966 to 2007 February Week 1 using OVID interface Embase 1980 - 2007 Week 7 using OVID interface [exp Pneumonia, Bacterial/ OR exp Pneumonia

2007 BestBETS

431. Effect of age, polymicrobial disease, and maternal HIV status on treatment response and cause of severe pneumonia in South African children: a prospective descriptive study. (Abstract)

Effect of age, polymicrobial disease, and maternal HIV status on treatment response and cause of severe pneumonia in South African children: a prospective descriptive study. HIV-related pneumonia is the main cause of paediatric hospital admissions in southern Africa. We aimed to measure predictors of treatment failure and the cause of non-responsive pneumonia in children admitted to hospital with severe pneumonia in Durban, South Africa.We investigated 358 children aged 1-59 months who (...) presented with WHO-defined severe or very severe pneumonia. Children were recruited irrespective of HIV status and started on a standard antimicrobial regimen of benzylpenicillin and gentamicin. All infants also received high-dose trimethoprim-sulfamethoxazole. The primary outcome measure was treatment failure at 48 h.242 (68%) children were HIV infected, 41 (12%) HIV exposed, uninfected, and 75 (21%) HIV uninfected. Failure to respond by 48 h was predicted by age under 1 year (adjusted odds ratio 6.38

2007 Lancet

432. Decline in pneumonia admissions after routine childhood immunisation with pneumococcal conjugate vaccine in the USA: a time-series analysis. (Abstract)

Decline in pneumonia admissions after routine childhood immunisation with pneumococcal conjugate vaccine in the USA: a time-series analysis. Routine infant immunisation with seven-valent pneumococcal conjugate vaccine (PCV7) began in the USA in 2000. Although invasive pneumococcal disease has declined substantially, the programme's effect on hospital admissions for pneumonia is unknown. We therefore assessed the effect of the programme on rates of all-cause and pneumococcal pneumonia (...) admissions.Data from the Nationwide Inpatient Sample, the largest inpatient database available in the USA, were analysed with an interrupted time-series analysis that used pneumonia (all-cause and pneumococcal) admission rates as the main outcomes. Monthly admission rates estimated for years after the introduction of PCV7 vaccination (2001-2004) were compared with expected rates calculated from pre-PCV7 years (1997-1999). The year of vaccine introduction (2000) was excluded, and rates of admission

2007 Lancet

433. Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis

Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

434. Does this patient have ventilator-associated pneumonia? Full Text available with Trip Pro

Does this patient have ventilator-associated pneumonia? Does this patient have ventilator-associated pneumonia? Does this patient have ventilator-associated pneumonia? Klompas M CRD summary The review evaluated the precision and accuracy of clinical variables and tests, compared with histology, for diagnosing bacterial ventilator-associated pneumonia. It concluded that radiographic information together with routine bedside evaluations may be indicative of ventilator-associated pneumonia (...) , but additional tests should be considered. The conclusions should be regarded with caution given the shortcomings in review methodology. Authors' objectives To evaluate the precision and accuracy of clinical, radiographic and laboratory data for diagnosing bacterial ventilator-associated pneumonia (VAP), compared with histology. Searching PubMed was searched from inception to October 2006; the search terms were reported. In addition, Google Scholar was searched and references of retrieved articles

2007 DARE.

435. Implementing a hospital guideline on pneumonia: a semi-quantitative review Full Text available with Trip Pro

Implementing a hospital guideline on pneumonia: a semi-quantitative review Implementing a hospital guideline on pneumonia: a semi-quantitative review Implementing a hospital guideline on pneumonia: a semi-quantitative review Cortoos P J, Simoens S, Peetermans W, Willems L, Laekeman G CRD summary This review aimed to evaluate different guideline implementation interventions for improving the treatment of community-acquired pneumonia in a hospital setting. The authors concluded that describing (...) which interventions are most successful is unlikely to be correct without taking other hospital-specific factors into account. Given the limitations in the evidence and review, these conclusions appear appropriately cautious, though non-specific. Authors' objectives To quantify the impact of different guideline implementation interventions to improve the treatment of community-acquired pneumonia (CAP) in a hospital setting. Searching PubMed, the Cochrane Library, the Cochrane EPOC Register, EMBASE

2007 DARE.

436. Corticosteroid treatment of severe community-acquired pneumonia Full Text available with Trip Pro

Corticosteroid treatment of severe community-acquired pneumonia Corticosteroid treatment of severe community-acquired pneumonia Corticosteroid treatment of severe community-acquired pneumonia Gorman S K, Slavik R S, Marin J CRD summary This review aimed to assess the evidence for adjunctive corticosteroids on the treatment of severe community-acquired pneumonia. The authors concluded that, given the paucity of information on their effects, systemic corticosteroids could not be recommended (...) for adjunctive treatment of severe community-acquired pneumonia. Reporting limitations make it difficult to establish the reliability of the authors' conclusions. Authors' objectives To assess the evidence for adjunctive corticosteroids in the treatment of severe community-acquired pneumonia. Searching MEDLINE and EMBASE databases were searched from inception to February 2007 for relevant papers. Search terms were reported. In addition, the bibliographies of retrieved articles were scanned for further

2007 DARE.

437. Humidification policies for mechanically ventilated intensive care patients and prevention of ventilator-associated pneumonia: a systematic review of randomized controlled trials

Humidification policies for mechanically ventilated intensive care patients and prevention of ventilator-associated pneumonia: a systematic review of randomized controlled trials Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

438. Carbapenems for the treatment of immunocompetent adult patients with nosocomial pneumonia

Carbapenems for the treatment of immunocompetent adult patients with nosocomial pneumonia Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

439. Topical chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis

Topical chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

440. Comparison of closed endotracheal suction versus open endotracheal suction in the development of ventilator-associated pneumonia in intensive care patients: an evaluation using meta-analytic techniques

Comparison of closed endotracheal suction versus open endotracheal suction in the development of ventilator-associated pneumonia in intensive care patients: an evaluation using meta-analytic techniques Comparison of closed endotracheal suction versus open endotracheal suction in the development of ventilator-associated pneumonia in intensive care patients: an evaluation using meta-analytic techniques Comparison of closed endotracheal suction versus open endotracheal suction in the development (...) of ventilator-associated pneumonia in intensive care patients: an evaluation using meta-analytic techniques Peter J V, Chacko B, Moran J L CRD summary The review determined the efficacy of closed endotracheal suctioning (CES) compared with open endotracheal suctioning (OES) in the development of ventilator-associated pneumonia (VAP) for mechanically ventilated patients in intensive care. The authors' cautious conclusion, that the current evidence does not appear to support the superiority of CES over OES

2007 DARE.