Abstract | BACKGROUND: METHODS: Patients mechanically ventilated for more than or equal to 72 h, who had persistent fever while on antibiotics for more than or equal to 48 h, underwent computed tomography scan followed by transnasal puncture of involved maxillary sinuses. VAIMS was defined as follows: fever greater than or equal to 38 degrees C, radiographic signs (air fluid level or opacification of maxillary sinuses on computed tomography scan), and a quantitative culture of sinus aspirate yielding more than or equal to 103 colony-forming units/ml. RESULTS: CONCLUSION: In VAIMS patients on antibiotics, quantitative cultures of sinus aspirates may contribute to establish the diagnosis. The frequent recovery of microorganisms susceptible to the antimicrobial treatment administered suggests that therapy of VAIMS with systemic antibiotics may not be sufficient.
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Authors | B Souweine, T Mom, O Traore, B Aublet-Cuvelier, L Bret, J Sirot, P Deteix, L Gilain, L Boyer |
Journal | Anesthesiology
(Anesthesiology)
Vol. 93
Issue 5
Pg. 1255-60
(Nov 2000)
ISSN: 0003-3022 [Print] United States |
PMID | 11046214
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Aged
- Anti-Bacterial Agents
(therapeutic use)
- Candida albicans
(isolation & purification)
- Candidiasis
(drug therapy, etiology, microbiology)
- Cross Infection
(drug therapy, etiology, microbiology)
- Female
- Gram-Negative Bacteria
(isolation & purification)
- Gram-Negative Bacterial Infections
(drug therapy, etiology, microbiology)
- Gram-Positive Bacteria
(isolation & purification)
- Gram-Positive Bacterial Infections
(drug therapy, etiology, microbiology)
- Humans
- Male
- Maxillary Sinus
(metabolism, microbiology)
- Maxillary Sinusitis
(drug therapy, etiology, microbiology)
- Middle Aged
- Prospective Studies
- Respiration, Artificial
(adverse effects)
- Suction
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