Pneumonia Antibiotics and Mechanical Ventilation

Pulmonary complications are common and are a major cause of morbidity and mortality for patients requiring neurointensive care. In one study on patients with SAH, half the deaths attributable to medical causes were pulmonary in origin. Risk of pneumonia appears to peak within the first 3 days (early-onset pneumonia or EOP) and has been found to be associated with trauma and, in non-trauma patients, with a Glasgow Coma Scale (GCS) of less than 9. In this cohort of patients, the organisms responsible for EOP were Staphylococcus aureus (33%), Haemophilus (23%), other gram-positive cocci (22%) and other gram-negative bacilli (19%). A second peak occurred on days 5 and 6; in this group, gram-negative bacilli other than Haemo-philus spp. accounted for 45.4% of organisms isolated. EOP appears to be related to aspiration of gastric contents occurring at the time of, or soon after, injury or ictus. Late-onset pneumonia is more likely to be ventilator-associated pneumonia, and caused by organisms which have colonized the airways. Appropriate antibiotic therapy should be guided by systemic manifestations, cultures and sensitivity of

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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