Intervención del terapista respiratorio en paciente masculino de 18 años con neumonía nosocomial

Nosocomial pneumonia is defined as an acute infection of the lower respiratory tract caused by infectious agents not present in the host at the time of admission, which may include viruses, fungal parasites, and bacteria, the latter being the most common pathogen associated with NN. Nosocomial pneum...

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Autor principal: Guanoquiza Mejía, Meybi Guadalupe (author)
Format: bachelorThesis
Publicat: 2023
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Accés en línia:http://dspace.utb.edu.ec/handle/49000/14372
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Sumari:Nosocomial pneumonia is defined as an acute infection of the lower respiratory tract caused by infectious agents not present in the host at the time of admission, which may include viruses, fungal parasites, and bacteria, the latter being the most common pathogen associated with NN. Nosocomial pneumonia occurs as consequence of bacterial invasion of the lower respiratory tract from the following routes: aspiration of oropharyngeal flora, contamination by bacteria from the gastrointestinal tract, inhalation of infected aerosols, and less frequently by hematogenous spread from a remote source of infection. Nosocomial pneumonia is diagnosed is controversial. There are different diagnostic modalities that are difficult to assess due to the absence of a clear "gold standard" with which to compare them. Traditionally, the criteria for suspicion of nosocomial pneumonia and ventilator-associated pneumonia have been based on the combination of clinical and radiological signs. Preferentially used clinical criteria include the presence of fever > 38.4 ºC or hypothermia < 36 ºC, leukocytosis > 15,000/mm3, (>10% of arches in children under 12 months) or leukopenia < 4,000/mm3, crackles and wet cough or purulent sputum.