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Suction of Respiratory Tract Secretions

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Prevention and Control of Infections in Hospitals
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Abstract

Suction of respiratory tract secretion involves the removal of mucus and fluids from the lower respiratory tract with a thin plastic catheter through the tracheal cannula or the endotracheal tube in intubated patients. The procedure takes place via open or closed suction system. Avoid damage of airway epithelium in patients with tracheal tube. The trachea is a sterile, semi-critical area and should be treated as such. All equipment and fluids introduced, passing the patient’s vocal cords, should be sterile to prevent lower respiratory tract infection.

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References

  1. Strausbaugh LJ. Nosocomial respiratory infections. In: Mandell, Douglas and Bennests principles and practice of infectious diseases. 6th ed. London: Elsevier Chuchill Livingstone; 2005. p. 3362–70.

    Google Scholar 

  2. Donowitz GR, Mandell GL. Acute pneumonia. In: Mandell, Douglas and Bennests principles and practice of infectious diseases. 6th ed. London: Elsevier Chuchill Livingstone; 2005. p. 819–45.

    Google Scholar 

  3. Craven DE, Chroneou A. Nosocomial pneumonia. In: Mandell, Douglas, and Bennets principles and practice of infectious diseases, vol. 2. 7th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2010. p. 3717–38.

    Chapter  Google Scholar 

  4. Hovig B, Lystad A, Opsjøn H. A prevalence study of infection among hospitalized patients in Norway. NIPH Annals (Oslo). 1981;4:49–60.

    CAS  Google Scholar 

  5. Lystad A, Stormark M. Hospital infections in Norwegian somatic hospitals. MSIS 1989; Week 15.

    Google Scholar 

  6. Lystad A, Stormark M. Report on prevalence studies of hospital infections in Norwegian hospitals on April 25, 1991. MSIS 1991; Week 29.

    Google Scholar 

  7. Andersen BM. Hospital infections at Ullevål University Hospital. Occurrence and additional expenses. Tidsskr Nor Laegeforen. 1996;116:2903–7.

    CAS  Google Scholar 

  8. Andersen BM, Hannestad Ree M, Hermansen W, Holta Ringertz S, Høystad MW, Lelek M, Norman BI, Næs B, Petersen T, Anderson Rød K, Røed RTH, Solheim N, Tandberg S, Bjørklund U, Skoog Hansen K. Number of hospital infections decreased last year. Tidsskr Sykepl. 1998;2:52–4.

    Google Scholar 

  9. Andersen BM, Rasch M. Prevention of nosocomial, flu-like lower respiratory tract infection in a nursing home. Tidsskr Nor Laegeforen. 1999;9:1336.

    Google Scholar 

  10. Scheel O, Stormark M. National prevalence survey on hospital infections in Norway. J Hosp Infect. 1999;412:331–5.

    Article  Google Scholar 

  11. Andersen BM, Holta Ringertz SH, Petersen Gullord T, Hermansen W, Lelek M, Norman BI, Tilrem Nystad M, Anderson Rød K, Røed RTH, Smidesang IJ, Solheim N, Tandberg S, Halsnes R, Høystad MW. A three-year survey of nosocomial and community- acquired infections, antibiotic treatment and re-hospitalization in a Norwegian health region. J Hosp Infect. 2000;44:214–23.

    Article  CAS  Google Scholar 

  12. Andersen BM, Rasch M. Hospital-acquired infections in Norwegian long-term-care institutions. A three-year survey of hospital-acquired infection and antibiotic treatment in nursing/residential homes, including 4,500 residents in Oslo. J Hosp Infect. 2000;46:288–98.

    Article  CAS  Google Scholar 

  13. Andersen BM, Rasch M, Tollefsen T, Kvist J, Bentsen L. Point prevalence studies during 10 years; − study of nosocomial infections in a tertiary university hospital in Norway. J Hosp Infect. 2006;64(Suppl 1):70. Abstract

    Article  Google Scholar 

  14. Andersen BM, Rasch M, Hochlin K, Tollefsen T, Sandvik L. Hospital-acquired infections before and after healthcare reorganization in a tertiary University Hospital in Norway. J Public Health. 2009;7:1–7.

    Google Scholar 

  15. NIPH. Prevalence of healthcare-associated infections and antibiotic treatment (PIAH) -springtime 2014.

    Google Scholar 

  16. Haley RW, Culver DH, White JW, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in university hospitals. Am J Epidemiol. 1985;121:182–205.

    Article  CAS  Google Scholar 

  17. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control. 1988;16:128–40.

    Article  CAS  Google Scholar 

  18. Craven DE, Steger KA. Hospital-acquired pneumonia: perspectives for the healthcare epidemiologists. Infect Control Hosp Epidemiol. 1997;18:783–95.

    Article  CAS  Google Scholar 

  19. Tablan OC, Anderson LI, Besser R, Bridges C, Hajjeh R. Guidelines for preventing healthcare associated pneumonia 2003.CDC. Morb Mort Wkly Rep. 2004;53:1–36.

    Google Scholar 

  20. Horan TC, Andrus M, Dudeck M. CDC/NHSN surveillance definition of healthcare-associated infection and criteria for specific types of infection in the acute care setting. Am J Infect Control. 2008;36:309–32.

    Article  Google Scholar 

  21. Andersen BM. Prevention of respiratory infections. I: handbook in hygiene and infection control for hospitals. Oslo: Ullevål University Hospital; 2008.

    Google Scholar 

  22. Branch-Elliman W, Price CS, McGeer A, Perl TM. Protecting the front line: designing and infection prevention platform for preventing emerging respiratory viral illness in healthcare personnel. Infect Control Hosp Epidemiol. 2014;00:1–10.

    Google Scholar 

  23. Klompas M. Nosocomial pneumonia. In: Mandell, Douglas, and Bennets principles and practice of infectious diseases, vol. 2. 8th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015. p. 3325–33.

    Google Scholar 

  24. Crossley KB, Peterson PK. Infections in the elderly. In: Mandell, Douglas, and Bennets principles and practice of infectious diseases, vol. 2. 7th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2010. p. 38573864.

    Google Scholar 

  25. Andersen BM, Rasch M. Nosocomial infections in nursing homes in Oslo. Tidsskr Nor Legeforen. 2002;122:2371–3.

    Google Scholar 

  26. Marrie TJ. Pneumonia in the long-term-care facility. Infect Control Hosp Epidemiol. 2002;23:159–64.

    Article  Google Scholar 

  27. Hutt E, Kramer AM. Evidence-based guidelines for the management of nursing home-acquired pneumonia. J Fam Pract. 2002;51:709–16.

    Google Scholar 

  28. Sund-Levander M, Ortqvist A, Grodzinsky E, Klefsgard O, Wahren LK. Morbidity, mortality and clinical presentation of nursing home-acquired pneumonia in a Swedish population. Scand J Infect Dis. 2003;35:306–10.

    Article  Google Scholar 

  29. Janssens JP, Krause KH. Pneumonia in the very old. Lancet Infect Dis. 2004;4:112–24.

    Article  Google Scholar 

  30. Hollar VRY, van der Putten G-J, van der Maarel-Wierink CD, et al. Nursing home-acquired pneumonia, dysphagia and associated diseases in nursing home residents: a retrospective, cross-sectional study. Geriatr Nurs. 2017;38(5):437–41.

    Article  Google Scholar 

  31. CDC. Pneumonia hospitalizations among young children before and after introduction of pneumococcal conjugate vaccine - United States, 1997-2006. Morb Mort Wkly Rep. 2009;58:1–4.

    Google Scholar 

  32. Humphreys H, Newcombe RG, Enstone J, et al. Four county healthcare-associated infection prevalence survey: pneumonia and lower respiratory tract infections. J Hosp Infect. 2010;74:266–70.

    Article  CAS  Google Scholar 

  33. American Thoracic Society documents. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:388–416.

    Article  Google Scholar 

  34. Klompas M, Khan Y, Kleinman K, et al. Multicentre evaluation of a novel surveillance paradigm for complications of mechanical ventilation. PLoS One. 2011;6:e18062.

    Article  CAS  Google Scholar 

  35. Klompas M, Branson R, Eichenwald EC, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014;35:915–36.

    Article  Google Scholar 

  36. CDC. Ventilator-associated event (VAE). CDC. January 2015.

    Google Scholar 

  37. Woodhead M, Blasi F, Ewig S, et al. Guidelines for the management of adult lower respiratory tract infections. Clin Microbiol Infect. 2011;17(Suppl):1–24.

    Article  Google Scholar 

  38. Mandell LA, Wunderink RG, Anzueto A, et al. Infectious diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007;44:27–72.

    Article  Google Scholar 

  39. Cunha BA. Nosocomial pneumonia. emedicine. medscape.com . May 28, 2009.

  40. CDC. Guidelines for prevention of nosocomial pneumonia. Morbid Mort Wkly Rep. 1997;46:1–79.

    Google Scholar 

  41. Herer B, Fuhrman C, Gazevic Z, Cabrit R, Chouaid C. Management of nosocomial pneumonia on a medical ward: a comparative study of outcomes and costs of invasive procedures. Clin Microbiol Infect. 2009;15:165–72.

    Article  CAS  Google Scholar 

  42. Anevlavis S, Petroglou N, Tzavaras A, et al. A prospective study of the diagnostic utility of sputum gram stain in pneumonia. J Infect. 2009;59:83–9.

    Article  Google Scholar 

  43. Musher DM, Roig IL, Cazares G, Stager CE, Logan N, Safar H. Can an etiologic agent be identified in adults who are hospitalized for community-acquired pneumonia: results of a one-year study. J Infect. 2013;67:11–8.

    Article  Google Scholar 

  44. Digranes A. Antibiotic sensitivity of common airway pathogenic bacteria. ThM. 1997;17–97.

    Google Scholar 

  45. NORM-VET. Usage of antimicrobial agents and occurrence of antimicrobial resistance in Norway. Troms ø/Oslo in 2011, 2012, 2013, 2017.

    Google Scholar 

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Andersen, B.M. (2019). Suction of Respiratory Tract Secretions. In: Prevention and Control of Infections in Hospitals. Springer, Cham. https://doi.org/10.1007/978-3-319-99921-0_28

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  • DOI: https://doi.org/10.1007/978-3-319-99921-0_28

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