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Paper Information

Journal:   JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)   WINTER 2012 , Volume 2 , Number 6; Page(s) 19 To 23.
 
Paper: 

COMPARING THE EFFECT OF CONTINUOUS AND INTERMITTENT FEEDING ON THE VENTILATOR-ASSOCIATED PNEUMONIA IN INTENSIVE CARE UNIT PATIENTS

 
 
Author(s):  HASANI VALIOLLAH, FAIZ S.HAMID REZA, SEIFI SHAHRAM*, MORADI MOGHADAM OMID, NIAKAN MOHAMMAD, LATIFI SHAHRBANOO
 
* DEPARTMENT OF ANESTHESIOLOGY AND PAIN, RASOULE AKRAM HOSPITAL, TEHRAN, IRAN
 
Abstract: 

Aim and Background: Ventilator-Associated pneumonia (VAP) is the second common infections with high mortality (24-40%).In this study designed to determined effect of continuous (infusion) and intermittent (bolus) feeding on the Ventilator-associated Pneumonia in ICU Patient.
Methods and Materials: This randomized controlled trial was performed on 76 patients admitted in ICU. They were randomly allocated to equal two groups (n=38). In case group, continuous feeding and in controlled group intermittent feeding was performed during the first five days. The incidences of early pneumonia (the first 3 to 5 days) and increase WBC (White Blood Cell) and PMN (Poly Morph Nuclear) in both groups were compared during the first 5 days.
Findings: Therate of increase in WBC (>11000/ml) and PMN (band cell>50%) in continuous group was 8 patients (10.5%) and in intermittent group were 7 patients (9.2%) (pv=0.32). The incidences of early pneumonia (CPIS>or=6) in case group were 4 patients (5.3%) and in control group were 7 patients (9.2%) (pv=0.77).
Conclusions: The results of this study showed that incidence of early VAP in case group was lesser, but this difference was not significant. Also, there was no significant difference in increase of WBC and PMN in both groups.

 
Keyword(s): INTERMITTENT VENTILATOR-ASSOCIATED PNEUMONIA, CONTINUOUS FEEDING, INTERMITTENT FEEDING, ENDOTRACHEAL TUBE, PREVENTION
 
References: 
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