HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Gaynes, R. Articles by Kirsh, M. Search for Related Content PubMed PubMed Citation Articles by Gaynes, R. Articles by Kirsh, M.

The Annals of Thoracic Surgery, Vol 51, 215-218, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Risk factors for nosocomial pneumonia after coronary artery bypass graft operations

R Gaynes, B Bizek, J Mowry-Hanley and M Kirsh
Department of Internal Medicine, University of Michigan Hospitals, Ann Arbor.

We attempted to determine risk factors for nosocomial pneumonia in patients undergoing a coronary artery bypass graft operation. We reviewed the microbiology and medical records for any patient with a sputum culture who had undergone a coronary artery bypass graft operation in 1988 to identify patients with pneumonia according to a standard clinical definition. We found 19 cases of pneumonia through our initial review; complete medical records were found on 15 cases. Gram-negative bacilli predominated as the most common etiologic agent causing pneumonia in this cohort. There were no clusters noted. Mortality was 26.6%. Pneumonia occurred approximately 4 days after the operation. Thirty-six controls were randomly selected from patients undergoing coronary artery bypass graft operations in 1988. Logistic regression analysis revealed that a history of chronic obstructive lung disease, duration of more than 2 days of mechanical ventilation after operation but before diagnosis of pneumonia, and receipt of gastric acid inhibitors (antacids or H2-blockers) were independent risk factors for nosocomial pneumonia. Only the last risk factor was amenable to intervention at the time of operation.

This article has been cited by other articles:

				R. G. Fuster, J. A. M. Argudo, O. G. Albarova, F. H. Sos, S. C. Lopez, M. B. Codoner, J. A. B. Minano, and I. R. Albarran Prognostic value of chronic obstructive pulmonary disease in coronary artery bypass grafting Eur. J. Cardiothorac. Surg., February 1, 2006; 29(2): 202 - 209. [Abstract] [Full Text] [PDF]

				C. Weissman Pulmonary Complications After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2004; 8(3): 185 - 211. [Abstract] [PDF]

				E. H. Hulzebos, N. L. Van Meeteren, R. A De Bie, P. C Dagnelie, and P. J. Helders Prediction of Postoperative Pulmonary Complications on the Basis of Preoperative Risk Factors in Patients Who Had Undergone Coronary Artery Bypass Graft Surgery Physical Therapy, January 1, 2003; 83(1): 8 - 16. [Abstract] [Full Text] [PDF]

				E. D. Sivak Liberation From Mechanical Ventilation Following Heart Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2002; 6(3): 203 - 217. [Abstract] [PDF]

				K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery) J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347. [Full Text] [PDF]

				D. L. GEORGE, P. S. FALK, R. G. WUNDERINK, K. V. LEEPER Jr., G. U. MEDURI, E. L. STEERE, C. E. CORBETT, and C. GLEN MAYHALL Epidemiology of Ventilator-acquired Pneumonia Based on Protected Bronchoscopic Sampling Am. J. Respir. Crit. Care Med., December 1, 1998; 158(6): 1839 - 1847. [Abstract] [Full Text] [PDF]