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Changing Heat and Moisture Exchangers Every 48 Hours Does Not Increase the Incidence of Nosocomial Pneumonia

Published online by Cambridge University Press:  02 January 2015

Françoise Daumal ,
Eric Colpart ,
Benoît Manoury ,
Mercedès Mariani  and
Marc Daumal
Françoise Daumal
Affiliation:
Intensive-Care Unit, Centre Hospitalier, Saint-Quentin, France
Eric Colpart
Affiliation:
Intensive-Care Unit, Centre Hospitalier, Saint-Quentin, France
Benoît Manoury
Affiliation:
Intensive-Care Unit, Centre Hospitalier, Saint-Quentin, France
Mercedès Mariani
Affiliation:
Intensive-Care Unit, Centre Hospitalier, Saint-Quentin, France
Marc Daumal*
Affiliation:
Intensive-Care Unit, Centre Hospitalier, Saint-Quentin, France
*
Intensive Care Unit B9, Centre Hospitalier, 02100 Saint-Quentin, France
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Abstract

This prospective study was conducted to evaluate the risk of nosocomial pneumonia when changing heat and moisture exchangers every 48 hours in 1996 instead of every 24 hours in 1995 for patients needing continuous mechanical ventilation. Medical and surgical patients in the two periods did not differ in terms of demographic characteristics and markers of acute or underlying illnesses. The incidence density of nosocomial pneumonia was not different in the two groups. Extended heat and moisture exchanger use reduces circuit manipulation and cost.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 5 , May 1999 , pp. 347 - 349
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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References

1. Dreyfuss, D, Djedaïni, K, Gros, I, Mier, L, Le Bourdellès, G, Boussougant, Y, et al. Mechanical ventilation with heated humidifiers or heat and moisture exchangers: effects on patient colonization and incidence of nosocomial pneumonia. Am J Respir Crit Care Med 1995;151:986–992.Google Scholar
2. Martin, C, Perrin, G, Gevaudan, MJ, Saux, P, Gouin, F. Heat and moisture exchangers and vaporizing humidifiers in the intensive care unit. Chest 1990;97:144–149.Google Scholar
3. Legali, J, Loirat, P, Alperovitch, A, Glaser, P, Granthil, C, Villers, D, et al. A simplified acute physiologic score for ICU patients. Crit Care Med 1984;12:975–977.Google Scholar
4. Papazian, L, Thomas, P, Garbe, L, Guignon, I, Thirion, X, Charrel, J, et al. Bronchoscopic or blind bronchial sampling techniques for the diagnosis of ventilator-associated pneumonia. Am J Respir Crit Care Med 1995;152:1982–1991.Google Scholar
5. Fagon, JY, Chastre, J, Hance, AJ, Guiguet, M, Trouillet, JL, Domart, Y, et al. Detection of nosocomial lung infection in ventilated patients. Use of protected specimen brush and quantitative culture techniques in 147 patients. Am Rev Respir Dis 1988;138:110–116.Google Scholar
6. Djedaïni, K, Billiard, M, Mier, L, Le Bourdellès, G, Brun, P, Markowicz, P, et al. Changing heat and moisture exchangers every 48 hours rather than 24 hours does not affect their efficacy and the incidence of nosocomial pneumonia. Am J Respir Crit Care Med 1995;152(pt 1): 1562–1569.CrossRefGoogle Scholar
7. Boiteau, R, Reignier, J, Tenaillon, A. Comparaison de deux durées d’utilisation (24H et 48 H) pour un échangeur de chaleur et d’humidité. In: Réanimation Urgences. Réunion Scientifique de la Société de Réanimation de Langue Française, Janvier 1997;5,6:814. Abstract SP 153.Google Scholar