Ventilator Acquired Pneumonia
Conditions
Keywords
patient ventilated for at least five days
Brief summary
Ventilator acquired pneumonia (VAP) are severe nosocomial infections. On the other side, bronchial fungi colonization is commonly observed in ICU; therefore, the investigators propose to study the role of bronchial fungi colonization on the occurrence of VAP taking into account the immune status of the patient and the antibiotic and antifungal treatments he has received.
Interventions
cutaneous, rectal, nose and mouth swabs to identify potential fungi colonization
HLA DR antigen, cytokines (IL 6 and 10), B-glucan
fungi and bacteria endotracheal aspiration
Sponsors
Study design
Eligibility
Inclusion criteria
* patient ventilated for at least 5 days
Exclusion criteria
* invasive infection Candida sp defined by : candidemia, isolation of Candida from a normally sterile site, candida pneumoniae.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset of a late ventilator acquired pneumonia (VAP) | Participants will be followed for the duration of mechanical ventilation, an expected time frame that can go from 5 days to up to 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Onset of a pseudomonas aeruginosa associated VAP | Participants will be followed for the duration of mechanical ventilation, an expected time frame that can go from 5 days to up to 8 weeks |
| Onset of late ventilator associated pneumonia associated to staphylococcus aureus | Participants will be followed for the duration of mechanical ventilation, an expected time frame that can go from 5 days to up to 8 weeks |
Countries
France