<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092018000100034</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tubo endotraqueal con aspiración subglótica y riesgo de neumonía asociada a ventilador]]></article-title>
<article-title xml:lang="en"><![CDATA[Subglottic secretion drainage tracheal tube and risk of ventilator-associated pneumonia]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tubo endotraqueal com aspiração subglótica e risco de pneumonia associada AO ventilador]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández García]]></surname>
<given-names><![CDATA[Eduardo Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corona Meléndez]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles del Carmen  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>1</numero>
<fpage>34</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092018000100034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092018000100034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092018000100034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El principal factor de riesgo para neumonía asociada a ventilador (NAV) es el tubo endotraqueal.  Objetivo:  Documentar la efectividad del tubo endotraqueal con aspiración subglótica (TEAS) en la reducción de NAV.  Metodología: Estudio de casos y controles de mayo de 2012 a diciembre de 2015 en una unidad de cuidados intensivos. En muestra por conveniencia, con relación control:caso 3:1, con nivel de significancia &#945; de 95% y poder &#946; de 80%, fueron necesarios 18 casos y 54 controles. Se utilizó BMI® SPSS® Statistics v21. 72.  Resultados:  277 (18.5%) de 1,492 pacientes recibieron asistencia mecánica ventilatoria, AMV (2,040 días ventilador); se obtuvo una tasa de 12.3 NAV por 1,000 días de ventilación. Se incluyeron 23 casos en el grupo de NAV y 67 controles. Once (18.3%) con TEAS y doce (40%) sin TEAS desarrollaron NAV (OR 0.33, IC 95% de 0.12-0.89). NNT = 4.6. Se encontró correlación significativa entre NAV y apego al protocolo de reducción de riesgos (r = 0.223, p = 0.036), días de ventilación mecánica (r = -0.51, p &lt; 0.0001) y estancia en la unidad de cuidados intensivos, UCI (r = 0.42, p &lt; 0.0001).  Conclusión:  El TEAS y el apego al protocolo de reducción de riesgos disminuyen el riesgo de NAV en pacientes con AMVI en la UCI, además de reducir los días de ventilación mecánica y la estancia hospitalaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Traqueal tube is the main risk factor for ventilator-associated pneumonia (VAP).  Objective:  Efficacy documentation of VAP reduction with endotracheal tube with subglottic secretion suction (ETSS).  Methods:  A case-control study from May 2012 to December 2015 in an intensive care unit. Patients who met the definition for VAP were considered as cases, and the exposition factor was the use of ETSS. Using a convenience sample with case:control rate of 1:3, &#945; = 95% and &#946; = 80%, a total of 18 cases and 54 controls were required. BMI® SPSS® Statistics v21 was used for the statistical analysis.  Results:  A total of 1,492 patients received attention in the ICU during the study period, with 277 (18.5%) requiring mechanical ventilation (2,040 ventilator-days). We included 23 cases in the VAP group and 67 controls. The rate of VAP was 12.3/1000 ventilator-days. Eleven patients (18.3%) with ETSS and twelve (40%) without it developed VAP (OR 0.33, IC 95% 0.12-0.89; NNT = 4.6). A significant correlation was found between VAP and bundle care adherence (r = 0.223, p = 0.036), days on mechanical ventilation (r = -0.51, p &lt; 0.0001), and length of stay in the ICU (r = 0.42, p &lt; 0.0001).  Conclusions:  ETSS use and care bundles adherence significantly reduced VAP risk in the intensive care unit, and shortened the days on mechanical ventilation and the length of stay.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  O principal fator de risco para a pneumonia associada ao ventilador (PAV) é o tubo endotraqueal.  Objetivo:  Documentar a eficácia do tubo endotraqueal com aspiração subglótica (TEAS) na redução do PAV.  Metodologia:  Estudo de casos e controles durante maio de 2012 a dezembro de 2015 do Hospital. Na amostra por conveniência, com relação de controle:caso de 3:1, com nível de significância &#945; de 95% e potência &#946; de 80%, foram necessários 18 casos e 54 controles. Utilizou-se BMI® SPSS® Statistics v21. 72  Resultados:  277 (18.5%) de 1492 pacientes receberam AMV (2040 dias de ventilador), obtendo taxa de 12.3 PAV por 1000 dias de ventilação. Foram incluídos 23 casos no grupo de PAV e 67 controles. Onze (18.3%) com TEAS e doze (40%) sem TEAS desenvolveram PAV (OR 0.33, IC 95% de 0.12-0.89). NNT = 4.6. Uma correlação significativa foi encontrada entre PAV e a adesão ao protocolo de redução de risco (r = 0.223, p = 0.036), dias de ventilação mecânica (r = -0.51, p &lt; 0.0001) e permanência na UTI (r = 0.42, p &lt; 0.0001).  Conclusão:  El TEAS e a adesão ao protocolo de redução de riscos diminue o risco de PAV em pacientes com AMVI na UTI, além de reduzir os dias de ventilação mecânica e a estadia hospitalária.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neumonía asociada a ventilador]]></kwd>
<kwd lng="es"><![CDATA[tubo endotraqueal de aspiración subglótica]]></kwd>
<kwd lng="en"><![CDATA[Ventilator-associated pneumonia]]></kwd>
<kwd lng="en"><![CDATA[endotracheal tube with subglottic suction]]></kwd>
<kwd lng="pt"><![CDATA[Pneumonía associada ao ventilador]]></kwd>
<kwd lng="pt"><![CDATA[tubo endotraqueal de aspiração subglótica]]></kwd>
</kwd-group>
</article-meta>
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