Detail Physiologic Factors Contributing to a Transition in Oral Immunity among Mechanically Ventilated Adults Bibliografi Author: O'Neal, Pamela V. ; Brown M.M., Nicole (Co-Author); Munro, Cindy (Co-Author) Topik: Ventilator-associated pneumonia; nosocomial pneumonia; immune system; oral immunity; oral secretions; mechanical ventilation Bahasa: (EN )     Penerbit: SAGE Publications     Tempat Terbit: London    Tahun Terbit: 2002     Jenis: Article - untuk jurnal ilmiah Fulltext: 132BRN33.pdf (43.0KB; 2 download) Abstract Ventilator-associated pneumonia (VAP), a specific type of nosocomial pneumonia, occurs in approximately 21% of patients in intensive care, and the mortality can be as high as 71%. VAP causes considerable mortality and morbidity, and it exponentially increases health care costs. The incidence of VAP is associated with or opharyngeal colonization of gram-negative bacteria. Within 48 h of hospital admission, the composition of the oropharyngeal flora of critically ill patients undergoes a change from the usual gram-positive streptococci and dental pathogens to a predominant gram-negative flora that includes more virulent organisms, which predispose patients to VAP. Identification and understanding of this oral transition from gram-positive to predominantly gram-negative flora may assist health care professionals in differentiating among oral immune markers that suggest compromised immunity. The purpose of this article is to provide a review of the literature that promotes an understanding of current knowledge about the transition of oral immunity in mechanically ventilated patients. Opini Anda Klik untuk menuliskan opini Anda tentang koleksi ini! Lihat Sejarah Pengadaan  Konversi Metadata   Kembali

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