Incidence and Consequences of Near-Drowning–Related Pneumonia—A Descriptive Series from Martinique, French West Indies
Bibliographic Data
| ID | 15515437 |
|---|---|
| Authors | Laura Cerland (Centre Hospitalier Universitaire de Martinique), Bruno Mégarbane (0000-0002-2522-2764, Inserm), Hatem Kallel (0000-0002-5663-0349, Intensive Care Unit, Hospital Centre of the French Guiana, 97306 Cayenne, France), Yanick Brouste (Centre Hospitalier Universitaire de Martinique), Hossein Mehdaoui (0000-0001-8647-5215, Centre Hospitalier Universitaire de Martinique), Dabor Resiere (0000-0001-9144-7323, Centre Hospitalier Universitaire de Martinique, corresponding author) |
| Year | 2017 |
| Volume | 14 |
| Issue | 11 |
| Pages | 1402-1402 |
| Publication date | 2017-11-17 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph14111402 |
| PMID | 29149019 |
| OpenAlex | W2768494160 |
| Language | EN |
| References cited | 10 |
Drowning represents one major cause of accidental death. Near-drowning patients are exposed to aspiration that may result in pneumonia with life-threatening consequences. We designed this descriptive study to investigate the frequency, nature, and consequences of post-drowning pneumonia. One hundred and forty-four near-drowning patients (33 children and 111 adults) admitted during four years to the University Hospital of Martinique, French Indies, were included. Patients presented pre-hospital cardiac arrest (41%) and exhibited acute respiratory failure (54%), cardiovascular failure (27%), and lactic acidosis (75%) on admission. Empirical antibiotics, as decided by the physicians in charge, were administered in 85 patients (59%). Post-drowning early onset bacterial pneumonia was diagnosed as "possible" in 13 patients (9%) and "confirmed" in 22 patients (15%). Tracheal aspiration revealed the presence of polymorphous pharyngeal flora (59%) or one predominant bacteria species (41%) including Enterobacter aerogenes , Enterobacter cloacae , Staphylococcus aureus , Pseudomonas aeruginosa , Aeromonas hydrophilia , and Morganella morgani . Despite adequate supportive care, drowning resulted in 45 fatalities (31%). Early onset bacterial aspiration pneumonia (either possible or confirmed) did not significantly influence the risk of death. In conclusion, near-drowning-related bacterial aspiration pneumonia seems rare and does not influence the mortality rate. There is still a need for practice standardization to improve diagnosis of post-drowning pneumonia and near-drowning patient management
Incidence (geometry · Martinique · Pneumonia · West indies · Emergency and Acute Care Studies · Injury Epidemiology and Prevention · Medicine · Neuroscience of respiration and sleep · Internal Medicine · Pediatrics
| Citation velocity | historical |
|---|---|
| Highly cited | No |