title: Tracheo-bronchitis and pneumonia associated with mechanical ventilation by Chryseobacterium indologenes.
abstract: The development of nosocomial infections by germs resistant to carbapenems inherently increases mortality, and causes an increase in health spending. The knowledge and study of these infections is important in improving epidemiological and therapeutic performance protocols. We present a descriptive study of eight patients diagnosed with tracheobronchitis (TAVM) and pneumonia (NAVM) associated with mechanical ventilation Chryseobacterium indologenes (CBI), over a period of five years. CBI isolation occurred at 11 days on average (rank 7-18) of remaining patients connected to mechanical ventilation. The average length of patients on mechanical ventilation was 36 days (range 10-140). The average ICU stay was 49 days (range 14-180). There was no death at 28 days, but the intra-hospital mortality was 2 cases (25%). Nosocomial respiratory infection secondary to CBI in mechanically ventilated patients has increased in recent years, so that should be included in the differential diagnostic of NAMV.
authors.affiliation: Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: e409@humv.es.
authors.forename: A
authors.initials: A
authors.lastname: González-Castro
authors.affiliation: Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: A
authors.initials: A
authors.lastname: Alsasua
authors.affiliation: Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: Y
authors.initials: Y
authors.lastname: Peñasco
authors.affiliation: Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: J C
authors.initials: JC
authors.lastname: Rodríguez
authors.affiliation: Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: J
authors.initials: J
authors.lastname: Duerto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001991:Bronchitis / Q000382:microbiology*; D045247:Chryseobacterium; D003428:Cross Infection / Q000382:microbiology*; D005260:Female; D045826:Flavobacteriaceae Infections / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D053717:Pneumonia, Ventilator-Associated / Q000382:microbiology*; D012121:Respiration, Artificial / Q000009:adverse effects*; D012189:Retrospective Studies; D014136:Tracheitis / Q000382:microbiology*
keywords: Chryseobacterium indologenes; Infección nosocomial; Neumonía asociada a ventilación mecánica; Nosocomial infection; Traqueobronquitis asociada a ventilación mecánica; Ventilator associated tracheobronchitis; Ventilator-associated pneumonia