We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Ventilator-Associated Pneumonia, Ventilator-Associated Events, and Nosocomial Respiratory Viral Infections on the Leeside of the Pandemic.
- Authors
Klompas, Michael
- Abstract
The COVID-19 pandemic has had an unprecedented impact on population health and hospital operations. Over 7 million patients have been hospitalized for COVID-19 thus far in the United States alone. Mortality rates for hospitalized patients during the first wave of the pandemic were > 30%, but as we enter the fifth year of the pandemic hospitalizations have fallen and mortality rates for hospitalized patients with COVID-19 have plummeted to 5% or less. These gains reflect lessons learned about how to optimize respiratory support for different kinds of patients, targeted use of therapeutics for patients with different manifestations of COVID-19 including immunosuppressants and antivirals as appropriate, and high levels of population immunity acquired through vaccines and natural infections. At the same time, the pandemic has helped highlight some long-standing sources of harm for hospitalized patients including hospital-acquired pneumonia, ventilator-associated events (VAEs), and hospital-acquired respiratory viral infections. We are, thankfully, on the leeside of the pandemic at present; but the large increases in ventilator-associated pneumonia (VAP), VAEs, bacterial superinfections, and nosocomial respiratory viral infections associated with the pandemic beg the question of how best to prevent these complications moving forward. This paper reviews the burden of hospitalization for COVID-19, the intersection between COVID-19 and both VAP and VAEs, the frequency and impact of hospital-acquired respiratory viral infections, new recommendations on how best to prevent VAP and VAEs, and current insights into effective strategies to prevent nosocomial spread of respiratory viruses.
- Subjects
DIGESTIVE organ microbiology; PUBLIC health surveillance; MEDICAL protocols; DENTAL care; TRACHEOTOMY; RESPIRATORY infections; CROSS infection; HOSPITAL care; AEROSOLS; VENTILATOR-associated pneumonia; ENDOTRACHEAL tubes; COVID-19 vaccines; TRACHEA intubation; MEDICAL drainage; MEDICAL masks; TOOTH care &; hygiene; COVID-19; MECHANICAL ventilators; COMORBIDITY; PREVENTIVE health services; INFECTIOUS disease transmission; DISEASE risk factors
- Publication
Respiratory Care, 2024, Vol 69, Issue 7, p854
- ISSN
0020-1324
- Publication type
Article
- DOI
10.4187/respcare.11961