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Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens

BACKGROUND: Sepsis is a chronic blood infection that is more common in patients with ventilatory and disability. This study aimed to evaluate the effect of common antibiotic regimens on weaning sepsis patients from mechanical ventilator. METHODS: In this prospective cross-sectional study, we classif...

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Autores principales: Sadegh, Mohammad J., Rafiei, Mohammadreza, Hazrati, Ebrahim, Namazi, Mehrshad, Afsahi, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051689/
https://www.ncbi.nlm.nih.gov/pubmed/35495784
http://dx.doi.org/10.4103/jfmpc.jfmpc_1290_21
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author Sadegh, Mohammad J.
Rafiei, Mohammadreza
Hazrati, Ebrahim
Namazi, Mehrshad
Afsahi, Mohammad
author_facet Sadegh, Mohammad J.
Rafiei, Mohammadreza
Hazrati, Ebrahim
Namazi, Mehrshad
Afsahi, Mohammad
author_sort Sadegh, Mohammad J.
collection PubMed
description BACKGROUND: Sepsis is a chronic blood infection that is more common in patients with ventilatory and disability. This study aimed to evaluate the effect of common antibiotic regimens on weaning sepsis patients from mechanical ventilator. METHODS: In this prospective cross-sectional study, we classified 70 sepsis patients under mechanical ventilation which sedates with midazolam and do not take muscle relaxants into two groups: meropenem and levofloxacin versus meropenem, levofloxacin, and clindamycin. The duration of intubation and the number of patients who needed re-intubation (and their duration of extubation) were recorded. Data were analyzed using SPSS software. RESULTS: In the present study, 68.6% were male and 31.4% were female. The mean age was calculated to be 37.98. The mean duration of mechanical ventilation and stay in the ICU in the group of two drugs (meropenem + levofloxacin) showed a significant decrease compared to the group of three drugs (P < 0.05). But no significant difference was observed in terms of ventilator connection time (P < 0.05). CONCLUSION: The differences in terms of mean duration of mechanical ventilation and ICU stay between the groups indicate that the two-drug regimen (meropenem + levofloxacin) is more efficient in bringing [sepsis] patients back to recovery.
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spelling pubmed-90516892022-04-30 Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens Sadegh, Mohammad J. Rafiei, Mohammadreza Hazrati, Ebrahim Namazi, Mehrshad Afsahi, Mohammad J Family Med Prim Care Original Article BACKGROUND: Sepsis is a chronic blood infection that is more common in patients with ventilatory and disability. This study aimed to evaluate the effect of common antibiotic regimens on weaning sepsis patients from mechanical ventilator. METHODS: In this prospective cross-sectional study, we classified 70 sepsis patients under mechanical ventilation which sedates with midazolam and do not take muscle relaxants into two groups: meropenem and levofloxacin versus meropenem, levofloxacin, and clindamycin. The duration of intubation and the number of patients who needed re-intubation (and their duration of extubation) were recorded. Data were analyzed using SPSS software. RESULTS: In the present study, 68.6% were male and 31.4% were female. The mean age was calculated to be 37.98. The mean duration of mechanical ventilation and stay in the ICU in the group of two drugs (meropenem + levofloxacin) showed a significant decrease compared to the group of three drugs (P < 0.05). But no significant difference was observed in terms of ventilator connection time (P < 0.05). CONCLUSION: The differences in terms of mean duration of mechanical ventilation and ICU stay between the groups indicate that the two-drug regimen (meropenem + levofloxacin) is more efficient in bringing [sepsis] patients back to recovery. Wolters Kluwer - Medknow 2022-03 2022-03-10 /pmc/articles/PMC9051689/ /pubmed/35495784 http://dx.doi.org/10.4103/jfmpc.jfmpc_1290_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sadegh, Mohammad J.
Rafiei, Mohammadreza
Hazrati, Ebrahim
Namazi, Mehrshad
Afsahi, Mohammad
Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
title Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
title_full Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
title_fullStr Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
title_full_unstemmed Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
title_short Weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
title_sort weaning of septic patients from the ventilator in the intensive care unit by attention approach to common antibiotic regimens
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051689/
https://www.ncbi.nlm.nih.gov/pubmed/35495784
http://dx.doi.org/10.4103/jfmpc.jfmpc_1290_21
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