TABLE 2 Features of the 24 episodes of ventilator-associated pneumonia
PatientAge
years
Lung diseaseLung transplantationCultures prior to lung transplantationDay of diagnosisMicroorganismAntibiotics at diagnosisLeukocytes
×109 cells·L−1
Temperature
°C
FIO2Chest radiographPurulent secretionsTime to death daysGastroparesisMost relevant abdominal symptoms/signs related with gastroparesis
DonorRecipient
159COPDBilateral21E. cloacae ESBLNone4–15>380.62/4YesYesAbdominal distension and pain, CT scan with stomach dilation
52P. aeruginosaNone4–15>3812/4Yes
259COPDBilateralS. maltophilia16Multi-resistant
P. aeruginosa and
E. cloacae
None4–15>380.31/4Yes#YesVomiting, stomach dilation on radiograph
362COPDBilateralS. aureus12Multi-resistant
P. aeruginosa
None>15>380.51/4YesYesVomiting and abdominal pain, stomach dilation on radiograph
450COPDBilateral28Multi-resistant
P. aeruginosa
Meropenem>15>380.73/4Yes33YesAbdominal distension, stomach dilation on radiograph
555COPDBilateralK. pneumoniae19A. fumigatusPipe-tazo
Nebulised colistin
>15<380.51/4Yes162No
649COPDBilateralP. aeruginosa15UnknownCefepime
Nebulised colistin
>15<380.41/4Yes+YesAbdominal distension and pain, CT scan with stomach dilation
764COPDBilateral44Multi-resistant
P. aeruginosa
None>15<380.41/4Yes#190YesAbdominal distension, CT scan with intestinal dilation
857COPDBilateral65UnknownNone4-15>380.41/4Yes+No
945COPDBilateral21MRSANone4-15>380.62/4YesYesAbdominal distension, diarrhoea and stomach dilation on radiograph
1056COPDRightS. aureus16P. aeruginosaCeftazidime
Amoxi-clav
4–15>380.62/4§Yes81YesAbdominal distension, stomach dilation on radiograph
31S. maltophiliaTigecycline
Nebulised colistin
4–15>3813/4ƒYes
70Multi-resistant
P. aeruginosa
Meropenem
Nebulised colistin
4–15>380.63/4ƒYes
1118CFBilateralAspergillus spp.S. maltophilia
and MRSA
15P. aeruginosaPipe-tazo>15<380.51/4YesYesVomiting and abdominal pain, stomach dilation on radiograph
1262Histiocytosis XBilateralM. tuberculosisS. aureus and
Haemophilus spp.
13UnknownAnti-TB drugs>15<380.81/4YesYesNausea and vomiting, abdominal distension
1357LAMBilateralS. aureusS. aureus0S. aureusAmoxi-clav
Aztreonam
>15>380.52/4Yes8No
1446IPAHBilateralS. aureus13UnknownCefepime
Nebulised colistin
>15<380.71/4YesYesAbdominal distension, diarrhoea, stomach dilation on radiograph
1546IPFBilateralS. aureusMulti-resistant
P. aeruginosa
55Multi-resistant
P. aeruginosa
Nebulised colistin>15<380.52/4Yes133YesVomiting and abdominal pain
106Multi-resistant
P. aeruginosa
Amikacine
Nebulised colistin
4–15>380.51/4Yes
1665IPFLeftC. freundii33K. pneumoniae and
E. cloacae
None>15<380.72/4§YesYesAbdominal distension, diarrhoea
1765IPFLeftHaemophilus spp.164Multi-resistant
P. aeruginosa
Nebulised colistin>15<380.52/4§Yes171YesNausea and abdominal distension, diarrhoea, CT scan with stomach and colic dilation
1849IPFRightS. aureusS. aureus0S. aureusNone<4<380.81/4##Yes42YesAbdominal distension, CT scan with stomach and gallbladder dilation
1931CLADRight0E. aerogenesNone>15>380.51/4§No+No
2046IPFLeftE. coli and
S. pneumoniae
5P. aeruginosaCefotaxime>15<380.71/4§Yes26No
  • Chest radiography data is presented as quadrants with opacities. FIO2: inspiratory oxygen fraction; COPD: chronic obstructive pulmonary disease; ESBL: extended-spectrum β-lactamase; CT: computed tomography; Pipe-tazo: piperacillin-tazobactam; Amoxi-clav: amoxicillin-clavulanate; CF: cystic fibrosis; TB: tuberculosis; LAM: lymphangioleiomyomatosis; IPAH: idiopathic pulmonary arterial hypertension; IPF: idiopathic pulmonary fibrosis; CLAD: chronic lung allograft dysfunction; E. cloacae: Enterobacter cloacae; P. aeruginosa: Pseudomonas aeruginosa; S. maltophilia: Stenotrophomonas maltophilia; S. aureus: Staphylococcus aureus; K. pneumoniae: Klebsiella pneumoniae; A. fumigatus: Aspergillus fumigatus; MRSA: methicillin-resistant S. aureus; M. tuberculosis: Mycobacterium tuberculosis; C. freundii: Citrobacter freundii; E. aerogenes: Enterobacter aerogenes; E. coli: Escherichia coli; S. pneumoniae: Streptococcus pneumoniae. #: dyspnoea; : no histopathological evidence of acute rejection; +: rales; §: native quadrants; ƒ: native and graft quadrants; ##: graft quadrants.