Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus. Loan H.T., Parry J., Nga N.T., Yen L.M., Binh N.T., Thuy T.T., Duong N.M., Campbell J.I., Thwaites L., Farrar J.J., & Parry C.M. 2012. abstract bibtex Healthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed in a semi-recumbent (30degree) or supine position. A total of 229 adults and children (aged \textgreater1 year) with severe tetanus admitted to hospital in Vietnam, were randomly assigned to a supine (n=112) or semi-recumbent (n=117) position. For patients maintaining their assigned positions and in hospital for\textgreater48h there was no significant difference between the two groups in the frequency of clinically suspected pneumonia [22/106 (20.8%) vs 26/104 (25.0%); p=0.464], pneumonia rate/1000 intensive care unit days (13.9 vs 14.6; p=0.48) and pneumonia rate/1000 ventilated days (39.2 vs 38.1; p=0.72). Mortality in the supine patients was 11/112 (9.8%) compared with 17/117 (14.5%) in the semi-recumbent patients (p=0.277). The overall complication rate [57/112 (50.9%) vs 76/117 (65.0%); p=0.03] and need for tracheostomy [51/112 (45.5%) vs 69/117 (58.9%); p=0.04) was greater in semi-recumbent patients. Semi-recumbent body positioning did not prevent the occurrence of HCAP in severe tetanus patients. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
@misc{loan_h.t._semi-recumbent_2012,
title = {Semi-recumbent body position fails to prevent healthcare-associated pneumonia in {Vietnamese} patients with severe tetanus},
abstract = {Healthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed in a semi-recumbent (30degree) or supine position. A total of 229 adults and children (aged {\textgreater}1 year) with severe tetanus admitted to hospital in Vietnam, were randomly assigned to a supine (n=112) or semi-recumbent (n=117) position. For patients maintaining their assigned positions and in hospital for{\textgreater}48h there was no significant difference between the two groups in the frequency of clinically suspected pneumonia [22/106 (20.8\%) vs 26/104 (25.0\%); p=0.464], pneumonia rate/1000 intensive care unit days (13.9 vs 14.6; p=0.48) and pneumonia rate/1000 ventilated days (39.2 vs 38.1; p=0.72). Mortality in the supine patients was 11/112 (9.8\%) compared with 17/117 (14.5\%) in the semi-recumbent patients (p=0.277). The overall complication rate [57/112 (50.9\%) vs 76/117 (65.0\%); p=0.03] and need for tracheostomy [51/112 (45.5\%) vs 69/117 (58.9\%); p=0.04) was greater in semi-recumbent patients. Semi-recumbent body positioning did not prevent the occurrence of HCAP in severe tetanus patients. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.},
journal = {Transactions of the Royal Society of Tropical Medicine and Hygiene},
author = {{Loan H.T.} and {Parry J.} and {Nga N.T.} and {Yen L.M.} and {Binh N.T.} and {Thuy T.T.} and {Duong N.M.} and {Campbell J.I.} and {Thwaites L.} and {Farrar J.J.} and {Parry C.M.}},
year = {2012},
keywords = {*patient positioning, Child, Viet Nam, adolescent, adult, aged, artificial ventilation, comparative study, complication, controlled study, cross infection/ep [Epidemiology], cross infection/pc [Prevention], female, human, incidence, infant, intensive care unit, male, microbiology, middle aged, pneumonia/ep [Epidemiology], pneumonia/et [Etiology], pneumonia/pc [Prevention], preschool child, randomized controlled trial, tetanus, tracheostomy, treatment failure, young adult}
}
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{"_id":"8GHzjQ6dHPWd2pt6R","bibbaseid":"loanht-parryj-ngant-yenlm-binhnt-thuytt-duongnm-campbellji-etal-semirecumbentbodypositionfailstopreventhealthcareassociatedpneumoniainvietnamesepatientswithseveretetanus-2012","downloads":0,"creationDate":"2017-05-12T20:20:58.391Z","title":"Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus","author_short":["Loan H.T.","Parry J.","Nga N.T.","Yen L.M.","Binh N.T.","Thuy T.T.","Duong N.M.","Campbell J.I.","Thwaites L.","Farrar J.J.","Parry C.M."],"year":2012,"bibtype":"misc","biburl":"http://bibbase.org/zotero/gxu917","bibdata":{"bibtype":"misc","type":"misc","title":"Semi-recumbent body position fails to prevent healthcare-associated pneumonia in Vietnamese patients with severe tetanus","abstract":"Healthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed in a semi-recumbent (30degree) or supine position. A total of 229 adults and children (aged \\textgreater1 year) with severe tetanus admitted to hospital in Vietnam, were randomly assigned to a supine (n=112) or semi-recumbent (n=117) position. For patients maintaining their assigned positions and in hospital for\\textgreater48h there was no significant difference between the two groups in the frequency of clinically suspected pneumonia [22/106 (20.8%) vs 26/104 (25.0%); p=0.464], pneumonia rate/1000 intensive care unit days (13.9 vs 14.6; p=0.48) and pneumonia rate/1000 ventilated days (39.2 vs 38.1; p=0.72). Mortality in the supine patients was 11/112 (9.8%) compared with 17/117 (14.5%) in the semi-recumbent patients (p=0.277). The overall complication rate [57/112 (50.9%) vs 76/117 (65.0%); p=0.03] and need for tracheostomy [51/112 (45.5%) vs 69/117 (58.9%); p=0.04) was greater in semi-recumbent patients. Semi-recumbent body positioning did not prevent the occurrence of HCAP in severe tetanus patients. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.","journal":"Transactions of the Royal Society of Tropical Medicine and Hygiene","author":[{"firstnames":[],"propositions":[],"lastnames":["Loan H.T."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Parry J."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Nga N.T."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Yen L.M."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Binh N.T."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Thuy T.T."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Duong N.M."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Campbell J.I."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Thwaites L."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Farrar J.J."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Parry C.M."],"suffixes":[]}],"year":"2012","keywords":"*patient positioning, Child, Viet Nam, adolescent, adult, aged, artificial ventilation, comparative study, complication, controlled study, cross infection/ep [Epidemiology], cross infection/pc [Prevention], female, human, incidence, infant, intensive care unit, male, microbiology, middle aged, pneumonia/ep [Epidemiology], pneumonia/et [Etiology], pneumonia/pc [Prevention], preschool child, randomized controlled trial, tetanus, tracheostomy, treatment failure, young adult","bibtex":"@misc{loan_h.t._semi-recumbent_2012,\n\ttitle = {Semi-recumbent body position fails to prevent healthcare-associated pneumonia in {Vietnamese} patients with severe tetanus},\n\tabstract = {Healthcare-associated pneumonia (HCAP) is a common complication in patients with severe tetanus. Nursing tetanus patients in a semi-recumbent body position could reduce the incidence of HCAP. In a randomised controlled trial we compared the occurrence of HCAP in patients with severe tetanus nursed in a semi-recumbent (30degree) or supine position. A total of 229 adults and children (aged {\\textgreater}1 year) with severe tetanus admitted to hospital in Vietnam, were randomly assigned to a supine (n=112) or semi-recumbent (n=117) position. For patients maintaining their assigned positions and in hospital for{\\textgreater}48h there was no significant difference between the two groups in the frequency of clinically suspected pneumonia [22/106 (20.8\\%) vs 26/104 (25.0\\%); p=0.464], pneumonia rate/1000 intensive care unit days (13.9 vs 14.6; p=0.48) and pneumonia rate/1000 ventilated days (39.2 vs 38.1; p=0.72). Mortality in the supine patients was 11/112 (9.8\\%) compared with 17/117 (14.5\\%) in the semi-recumbent patients (p=0.277). The overall complication rate [57/112 (50.9\\%) vs 76/117 (65.0\\%); p=0.03] and need for tracheostomy [51/112 (45.5\\%) vs 69/117 (58.9\\%); p=0.04) was greater in semi-recumbent patients. Semi-recumbent body positioning did not prevent the occurrence of HCAP in severe tetanus patients. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. 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