Diagnosis and Treatment of Pneumonia in the Intensive Care Unit

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Intensive Care".

Deadline for manuscript submissions: 20 August 2024 | Viewed by 535

Special Issue Editor


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Guest Editor
Department of Anesthesiology and Intensive Care Medicine, University Hospital of Tübingen, Hoppe-Seyler-Straße 3, 72076 Tübingen, Germany
Interests: acute lung injury; intensive care medicine; cardiac anesthesia; echocardiography; antibiotics

Special Issue Information

Dear Colleagues,

Pneumonia acquired in intensive care units (ICUs), especially ventilator-associated pneumonia (VAP), is a life-threatening infection in critically ill patients. The estimated incidence varies by definition, population and screening methods. Various studies have advanced our understanding of the pathogenesis, risk factors, prognosis and health costs of this disease, but questions relating the diagnosis and treatment remain unanswered. However, continuous research and the fast development of technologies in intensive medicine leave physicians with the need to summarize and collect the newest information on epidemiology, diagnostics, monitoring and therapeutic strategies in ICU-associated pneumonia and VAP.

This Special Issue aims to highlight novelties in the diagnosis and treatment of ICU-associated pneumonia and VAP, including all the research to help clinicians improve the pneumonia-associated outcomes in critically ill patients.

Dr. Kristian Christos Ngamsri
Guest Editor

Manuscript Submission Information

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Keywords

  • pneumonia
  • ICU-associated pneumonia
  • ventilator-associated pneumonia
  • mechanical ventilation
  • intensive care medicine
  • intensive care unit
  • critical care

Published Papers (1 paper)

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Research

11 pages, 930 KiB  
Article
Radiologic Evaluation of Oral Health Status in Patients Admitted to the Intensive Care Unit: A Multi-Institutional Retrospective Study
by Yesel Kim
J. Clin. Med. 2024, 13(13), 3913; https://doi.org/10.3390/jcm13133913 - 3 Jul 2024
Viewed by 345
Abstract
Introduction: Surveys distributed among intensive care unit (ICU) nurses reveal a significant need for dental care, with many acknowledging poor oral hygiene management. Poor oral health in ICU patients is linked to systemic problems, including aspiration pneumonia, necessitating pre-intervention assessments for bacterial diseases [...] Read more.
Introduction: Surveys distributed among intensive care unit (ICU) nurses reveal a significant need for dental care, with many acknowledging poor oral hygiene management. Poor oral health in ICU patients is linked to systemic problems, including aspiration pneumonia, necessitating pre-intervention assessments for bacterial diseases and dental risks. This study aims to evaluate the oral health status of ICU patients across three institutions through retrospective analysis. Methods: This retrospective study assessed the oral health status of ICU patients, using computed tomography (CT) images from three institutions over ten years. Through CT images, the oral status was evaluated in terms of total and lost tooth count and the presence of oral lesions (periapical lesions, cysts and tumors, caries, tartar, moderate to severe periodontal bone loss, tooth fractures). Variables included gender, age, the duration of ICU stay, and types of ICU. Statistical analysis was performed using chi-square tests, independent-sample t-tests, and logistic regression analysis. Results: Of the 450 participants, 430 were analyzed, revealing a prevalence of oral lesions in 67.0% of subjects. The prevalence of oral lesions was higher in males (71.5%) than females (57.7%, p = 0.006), and higher in those aged 40 and above (72.1%) compared to those under the age of 40 (47.8%, p < 0.001). This study found significant differences in oral health status based on gender, age, and ICU type, with surgical ICU patients generally having better oral health. Risk factors for oral lesions included gender, age, and duration of ICU stay. Conclusions: Most ICU patients have at least one oral lesion, regardless of the reason for their ICU admission. In particular, male ICU patients aged 40 and above have a higher prevalence of oral lesions, necessitating careful oral health assessment and treatment. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Pneumonia in the Intensive Care Unit)
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