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Hospital Clinic I
Provincial, Servei de Pneumologia I Al.lèrgia Respiratoria,
Villarroel 170, E-08036 Barcelona, Spain
Correspondence to: Dr A Torres.
Received 22 February 1999; Returned to authors 20 April 1999; Revised version received 20 May 1999; Accepted for publication 21 June 1999
| The first 150 words of the full text of this article appear below. |
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Introduction |
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The acute respiratory distress syndrome (ARDS) and nosocomial pneumonia share aetiological, physiopathological, and diagnostic properties that justify consideration of the relationship between these two diseases. The aetiology of ARDS can be separated into direct and indirect lung injury. In cases with indirect lung injury such as necrotising pancreatitis the cause of the lung injury may not be readily apparent, whereas in direct lung injury due to aspiration of gastric contents or pneumonia the role of infection is more clear. Sloane and co-workers, in a series of 153 patients, reported pneumonia as the underlying aetiology in 31% of all patients who developed ARDS.1 Furthermore, most patients with ARDS require mechanical ventilation which increases the risk of nosocomial pneumonia.2-4 This report reviews recent studies on the prevalence, incidence, and impact of nosocomial pneumonia on outcome in patients with ARDS.
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Prevalence |
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Data on the prevalence of nosocomial pneumonia causing ARDS are
not readily available. Although
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