Acute respiratory infections in persons with spinal cord injury.
Respiratory disorders are the leading cause of death for persons with both acute and chronic spinal cord injury (SCI), and much of the morbidity and mortality associated with respiratory disorders is related to acute respiratory infections. Pneumonia is the best recognized respiratory infection associated with mortality in this population. Recent evidence supports some management strategies that differ from those recommended for the general population. Upper respiratory tract infections and acute bronchitis may be precipitating factors in the development of pneumonia or ventilatory failure in patients with chronic SCI. This review emphasizes management principles for treatment and prevention of respiratory infections in persons with SCI.
Burns
Stephen P
SP
Spinal Cord Injury Service (128), VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, USA. spburns@u.washington.edu
D000208:Acute Disease; D017714:Community-Acquired Infections / Q000453:epidemiology / Q000628:therapy; D003428:Cross Infection / Q000453:epidemiology; D003657:Decision Making; D006801:Humans; D011014:Pneumonia / Q000453:epidemiology / Q000628:therapy; D011552:Pseudomonas Infections / Q000453:epidemiology; D012141:Respiratory Tract Infections / Q000453:epidemiology*; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000453:epidemiology*