- Evaluation of outcome of intravenous catheter-related infections in critically ill patientsJ Rello
Intensive Care, Internal Medicine, Microbiology and Epidemiology Departments, Parc Taulí Health Corporation, Sabadell, Barcelona, Spain
Am J Respir Crit Care Med 162:1027-30. 2000..Nevertheless, these infections lead to an increase in hospital stay of approximately 20 d. Each episode of CRI represents an additional cost of more than 3,000 Euros...
- International Conference for the Development of Consensus on the Diagnosis and Treatment of Ventilator-associated PneumoniaJ Rello
Hospital Universitari Joan XXIII, Tarragona, Spain
Chest 120:955-70. 2001..Consensus was reached on the importance of local epidemiology surveillance programs and on the need for customized empiric antimicrobial choices to respond to local patterns of pathogens and susceptibilities...
- Associations between empirical antimicrobial therapy at the hospital and mortality in patients with severe community-acquired pneumoniaJ Rello
Critical Care Department, University Hospital Joan XXIII, Mallafre Guasch 4, 43007 Tarragona
Intensive Care Med 28:1030-5. 2002..The aim of the study was to examine different antibiotic choices and their relation to outcomes...
- Impact of the emergence of non-vaccine pneumococcal serotypes on the clinical presentation and outcome of adults with invasive pneumococcal pneumoniaJ Burgos
Department of Infectious Diseases, Hospital Universitari Vall d Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain
Clin Microbiol Infect 19:385-91. 2013..1; 95% CI, 0.01-0.78). In conclusion, the incidence of IPP in the post-vaccine period has increased in our setting, it is caused mainly by non-vaccine serotypes and it is associated with higher rates of septic shock...
- First influenza season after the 2009 pandemic influenza: report of the first 300 ICU admissions in SpainA Rodriguez
Hospital Joan XXIII, Critical Care Department, IISPV, URV, CIBER Enfermedades Respiratorias, Tarragona, Spain
Med Intensiva 35:208-16. 2011..During the 2009 influenza pandemic, several reports were published, nevertheless, data on the clinical profiles of critically ill patients with the new virus infection during this second outbreak are still lacking...
- Antibiotic prescription for community-acquired pneumonia in the intensive care unit: impact of adherence to Infectious Diseases Society of America guidelines on survivalM Bodi
Intensive Care Dept, Joan XXIII University Hospital, Tarragona, Spain
Clin Infect Dis 41:1709-16. 2005..The purpose of our study was to analyze prognostic factors associated with mortality for patients with severe community-acquired pneumonia (CAP)...
- Determinants of prescription and choice of empirical therapy for hospital-acquired and ventilator-associated pneumoniaJ Rello
Critical Care Department, Vall d Hebron University Hospital, Vall d Hebron Institut de Recerca, Universitat Autonoma de Barcelona, Passeig de la Vall d Hebron, 119 129, 08035, Barcelona, Spain
Eur Respir J 37:1332-9. 2011..Across Europe, carbapenems were the antibiotic most prescribed for HAP/VAP...
- Variations in etiology of ventilator-associated pneumonia across four treatment sites: implications for antimicrobial prescribing practicesJ Rello
Pulmonary and Critical Care Departments, Hospital de Sabadell, Barcelona, Spain
Am J Respir Crit Care Med 160:608-13. 1999..Instead of following general recommendations, antimicrobial prescribing practices for VAP should be based on up-to-date information of the pattern of multiresistant isolates from each institution...
- Impact of Gram-positive resistance on outcome of nosocomial pneumoniaM Bodi
Department of Critical Care, Hospital Universitari Joan XXIII, University Rovira i Virgili, Tarragona, Spain
Crit Care Med 29:N82-6. 2001..Optimizing treatment focusing on this goal and new antimicrobials provide new opportunities to improve survival. (Crit Care Med 2001; 29[Suppl.]:N82-N86)..
- A care bundle approach for prevention of ventilator-associated pneumoniaJ Rello
Hospital Vall d Hebron, CibeRes, VHIR, Universitat Autonoma de Barcelona, Barcelona, Spain
Clin Microbiol Infect 19:363-9. 2013..Efforts on VAP prevention and outcome improvement should focus on achieving higher compliance in hand and oral hygiene, sedation protocols and intracuff pressure control...
- Differences in hospital- and ventilator-associated pneumonia due to Staphylococcus aureus (methicillin-susceptible and methicillin-resistant) between Europe and Latin America: a comparison of the EUVAP and LATINVAP study cohortsJ Rello
Critical Care Department, Vall d Hebron University Hospital, IRVH, CibeRes, Barcelona, Spain
Med Intensiva 37:241-7. 2013..the European Union VAP (EUVAP) cohorts of patients admitted to intensive care units (ICUs)...
- Community-acquired Legionella Pneumonia in the intensive care unit: Impact on survival of combined antibiotic therapyJ Rello
Hospital Universitari Vall d Hebron, Barcelona, Spain
Med Intensiva 37:320-6. 2013..To compare intensive care unit (ICU) mortality in patients with severe community-acquired pneumonia (SCAP) caused by Legionella pneumophila receiving combined therapy or monotherapy...
- First influenza season after the 2009 pandemic influenza: characteristics of intensive care unit admissions in adults and children in Vall d'Hebron HospitalG Poulakou
Department of Critical Care, Vall d Hebron University Hospital, Barcelona, Spain
Clin Microbiol Infect 18:374-80. 2012..Increasing vaccination rates among risk-group individuals is warranted to prevent ICU admission and death...
- Risk factors for developing pneumonia within 48 hours of intubationJ Rello
Pulmonary and Critical Care Departments, Hospital de Sabadell, and CEPSS FPT, Sabadell, Barcelona, Spain
Am J Respir Crit Care Med 159:1742-6. 1999..29, 95% CI = 0.12, 0.69) showed a protective effect. Our findings emphasize that risk factors for pneumonia change during the intubation period, and preventing pneumonia requires a combined approach...
- Advances in the management of pneumonia in the intensive care unit: review of current thinkingJ Rello
Critical Care Department, Joan XXIII University Hospital, University Rovira i Virgili, Tarragona, Spain
Clin Microbiol Infect 11:30-8. 2005..Therefore, antibiotic choice should be institution-specific and patient-oriented...
- Early non-invasive ventilation treatment for severe influenza pneumoniaJ R Masclans
Critical Care Department, Vall d Hebron University Hospital, Vall d Hebron Research Institute VHIR, Universitat Autonoma de Barcelona, Barcelona, Spain
Clin Microbiol Infect 19:249-56. 2013..6% of them. NIV success was associated with shorter hospital stay and mortality similar to non-ventilated patients. NIV failure was associated with a mortality similar to those who were intubated from the start...
- Elevation of creatine kinase is associated with worse outcomes in 2009 pH1N1 influenza A infectionBárbara Borgatta
Critical Care Department, Vall d Hebron University Hospital, Universitat Autonoma de Barcelona UAB, 08035, Barcelona, Spain
Intensive Care Med 38:1152-61. 2012..Current medical knowledge lacks specific information regarding creatine kinase (CK) elevation in influenza A pH1N1 (2009) infection...
- Influence of pneumococcal serotype group on outcome in adults with bacteraemic pneumoniaM Lujan
Pneumology Service, Departament de Medicina, Universitat Autonoma de Barcelona, Sabadell, Barcelona, Spain
Eur Respir J 36:1073-9. 2010..80, 95% CI 1.89-12.13). A vaccination strategy including serotypes 3, 6A, 6B, 8, 19F and 23F may improve survival in adults...
- Use of early corticosteroid therapy on ICU admission in patients affected by severe pandemic (H1N1)v influenza A infectionI Martin-Loeches
Critical Care Department, Joan XXIII University Hospital, University Rovira i Virgili, IISPV, CIBER Enfermedades Respiratorias CIBERES, Tarragona, Spain
Intensive Care Med 37:272-83. 2011..Early use of corticosteroids in patients affected by pandemic (H1N1)v influenza A infection, although relatively common, remains controversial...
- Mortality as an outcome in hospital-acquired pneumoniaJ Rello
Intensive Care Department, Hospital de Sabadell, Barcelona, Spain
Infect Control Hosp Epidemiol 19:795-7. 1998..Initial antibiotic choice should be based on expected etiologic pathogens, while knowledge of local microbial epidemiology and susceptibility patterns is crucial...
- The sounds of cardiac arrest: innovating to obtain an accurate record during in-hospital cardiac arrestN Duran
Critical Care Department, Vall d Hebron University Hospital, Research Group in Shock, Multiorgan Dysfunction and Resuscitation, Vall d Hebron Institute of Research, Universitat Autonoma de Barcelona, Spain
Resuscitation 83:1219-22. 2012..To obtain an accurate audit during in-hospital cardiac arrest, following recommendations of the Utstein style and measuring time intervals between the different interventions, is difficult...
- Usefulness of procalcitonin clearance as a prognostic biomarker in septic shock. A prospective pilot studyJ C Ruiz-Rodríguez
Servei de Medicina Intensiva, Universitat Autonoma de Barcelona, Barcelona, Spain
Med Intensiva 36:475-80. 2012..To evaluate procalcitonin clearance as a prognostic biomarker in septic shock...
- [Mechanical ventilation associated pneumonia]E Diaz
Servicio de Medicina Intensiva, Hospital Universitari Joan XXIII Tarragona, Universitat Rovira i Virgili, IISPV, CIBER Enfermedades Respiratorias, CibeRes, Tarragona, Spain
Med Intensiva 34:318-24. 2010....
- A randomized trial of dental brushing for preventing ventilator-associated pneumoniaAngel Pobo
Critical Care Department, Joan XXIII University Hospital, 43007 Tarragona, Spain
Chest 136:433-9. 2009..Poor oral hygiene is associated with respiratory pathogen colonization and secondary lung infection. The impact of adding electric toothbrushing to oral care in order to reduce ventilator-associated pneumonia (VAP) incidence is unknown...
- Clostridium difficile in the ICU: study of the incidence, recurrence, clinical characteristics and complications in a university hospitalS Salva
Critical Care Department, Vall d Hebron University Hospital, Barcelona, Spain
Med Intensiva 38:140-5. 2014..The present study describes the incidence, patient characteristics, complications, and recurrence rates of CDI in a Spanish ICU...
- Pneumonia in immunocompetent patients: combination antibiotic therapyS Salva
Department of Anesthesia, Vall d Hebron University Hospital, Barcelona, Spain
Minerva Anestesiol 80:495-503. 2014....
- Intubated patients developing tracheobronchitis or pneumonia have distinctive complement system gene expression signatures in the pre-infection period: a pilot studyI Martin-Loeches
Critical Care Centre, Corporació Sanitaria Parc Taulí Hospital de Sabadell CIBERES, Sabadell, Spain
Med Intensiva 36:257-63. 2012..It remains unknown why some intubated patients remain infection-free while others develop tracheobronchitis (VAT) or pneumonia (VAP)...
- E. coli O104:H4 outbreak and haemolytic-uraemic syndromeB Borgatta
Critical Care Department, Vall d Hebron University Hospital, Barcelona, Spain
Med Intensiva 36:576-83. 2012..The first cases of the European epidemic of Shiga toxin-producing Escherichia coli O104:H4 (STEC-O104:H4) infection were reported in Germany in April 2011...
- Pharmacokinetics, pharmacodynamics, safety and tolerability of tigecyclineJ Rello
Critical Care Department, Joan XXIII University Hospital, University Rovira i Virgili, Institut Pere Virgili, Tarragona, Spain
J Chemother 17:12-22. 2005..C. difficile-related complications with tigecycline are uncommon. In the majority of patients, tigecycline has minimal adverse effects on blood chemistry or haematology...
- Endotracheal tube intraluminal diameter narrowing after mechanical ventilation: use of acoustic reflectometryM C Boque
University Hospital Joan XXIII, University Rovira i Virgili, Mallafre Guasch 4, 43007 Tarragona, Spain
Intensive Care Med 30:2204-9. 2004..To quantify the incidence and degree of endotracheal tube intraluminal obstruction after mechanical ventilation and its relation to time of intubation...
- Implications of COPD in patients admitted to the intensive care unit by community-acquired pneumoniaJ Rello
Critical Care Dept, Joan XXIII University Hospital, Carrer Mallafre Guasch 4, E43007 Tarragona, Spain
Eur Respir J 27:1210-6. 2006....
- [Guidelines for the diagnosis and management of community-acquired pneumonia. Spanish Society of Pulmonology and Thoracic Surgery (SEPAR)]I Alfageme
Arch Bronconeumol 41:272-89. 2005
- Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among European intensive care nursesS Labeau
Faculty of Healthcare, University College Ghent, Ghent, Belgium
J Hosp Infect 70:180-5. 2008..Further research may determine whether low scores are related to a lack of knowledge, deficiencies in training, differences in what is regarded as good practice, and/or a lack of consistent policy...
- Presence of polyclonal Pseudomonas aeruginosa in an intensive care unit: a 27-month prospective study on molecular epidemiologyP Cortes
Department of Microbiology, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Spain
Infect Control Hosp Epidemiol 22:720-3. 2001..Taps and related surfaces were a stable reservoir for certain pulsotypes. The 15.4% of the P. aeruginosa-positive cultures were polyclonal. Different colony morphotypes should be assayed in surveillance studies...
- Hospital-acquired pneumonia guidelines in Europe: a review of their status and future developmentR Masterton
NHS Ayrshire and Arran, Eglington House, Ailsa Hospital, Dalmellington Road, Ayr KA6 0BA, UK, and Tufts University School of Medicine, Boston, MA, USA
J Antimicrob Chemother 60:206-13. 2007..Establishing a pan-European consensus on core processes of care should be viewed as an impetus for change to improve clinical practices and should include a suitable implementation strategy...
- The pneumonia severity index predicts time to clinical stability in patients with community-acquired pneumoniaF Arnold
Division of Infectious Diseases, University of Louisville, Louisville, Kentucky 40292, USA
Int J Tuberc Lung Dis 10:739-43. 2006..A total of 33 hospitals in 13 countries in North America, Europe, Africa, Asia and Latin America...
- [Discrepancies between clinical and pathological diagnosis in a polyvalent intensive care service]M Magret Iglesias
Servicio de Cuidados Intensivos, Hospital Universitari Joan XXIII, Tarragona España
Med Intensiva 30:95-100. 2006..Analyze the frequency and spectrum of the most relevant diseases found in the necropsic study. Assess the association between stay in Intensive Care Unit (ICU) less than 24 hours and rate of diagnostic errors...