D-PRISM: a global survey-based study to assess diagnostic and treatment approaches in pneumonia managed in intensive care

  1. Reyes, Luis Felipe
  2. Serrano-Mayorga, Cristian C.
  3. Zhang, Zhongheng
  4. Tsuji, Isabela
  5. De Pascale, Gennaro
  6. Prieto, Valeria Enciso
  7. Mer, Mervyn
  8. Sheehan, Elyce
  9. Nasa, Prashant
  10. Zangana, Goran
  11. Avanti, Kostoula
  12. Tabah, Alexis
  13. Shrestha, Gentle Sunder
  14. Bracht, Hendrik
  15. Fatoni, Arie Zainul
  16. Abidi, Khalid
  17. bin Sulaiman, Helmi
  18. Eshwara, Vandana Kalwaje
  19. De Bus, Liesbet
  20. Hayashi, Yoshiro
  21. Korkmaz, Pervin
  22. Ait Hssain, Ali
  23. Buetti, Niccolò
  24. Goh, Qing Yuan
  25. Kwizera, Arthur
  26. Koulenti, Despoina
  27. Nielsen, Nathan D.
  28. Povoa, Pedro
  29. Ranzani, Otavio
  30. Rello, Jordi
  31. Conway Morris, Andrew
  32. for the D-PRISM Investigators
  33. Steering Committee
  34. Reyes, Luis Felipe
  35. Zhang, Zhongheng
  36. Mer, Mervyn
  37. Tabah, Alexis
  38. Kwizera, Arthur
  39. Koulenti, Despoina
  40. Nielsen, Nathan D.
  41. Povoa, Pedro
  42. Ranzani, Otavio
  43. Rello, Jordi
  44. Conway Morris, Andrew
  45. National/Regional Co-ordinators
  46. Mphandi, Wilson
  47. Ceccato, Adrian
  48. Tabah, Alexis
  49. Jahan, Ahsina
  50. De Bus, Liesbet
  51. Tsuji, Isabela
  52. Zhang, Zhongheng
  53. Reyes, Luis Felipe
  54. Jibaja, Manuel
  55. Alsisi, Adel
  56. Roquilly, Antoine
  57. Bracht, Hendrik
  58. Arvaniti, Kostoula
  59. Sandoval, Nancy
  60. Eshwara, Vandana Kalwaje
  61. Zainul, Arie
  62. Zand, Faird
  63. De Pascale, Gennaro
  64. Hayashi, Yoshiro
  65. Viderman, Dimitry
  66. Sulaiman, Helmi bin
  67. Lagunes, Leonel
  68. Nasa, Prashant
  69. Zangana, Goran
  70. Abidi, Khalid
  71. Shrestha, Gentle
  72. Schouten, Jeroen
  73. Buowari, Dabota
  74. Hashmi, Madiha
  75. Luque, Nestor
  76. Nora, David
  77. Hssain, Ali Ait
  78. Kuzovlev, Artem
  79. Goh, Qing Yuan
  80. Mer, Mervyn
  81. Rello, Jordi
  82. Hanifa, Rashan
  83. Sjovall, Fredrik
  84. Buetti, Niccollò
  85. Yeh, Tony
  86. Korkmaz, Pervin
  87. Kwizera, Arthur
  88. Shaban, Nesreen
  89. Hamed, Islam
  90. Sheehan, Elyce

Download
13054_2024_Article_5180.pdf 2,04MB
WeightNameValue
1000 Titel
  • D-PRISM: a global survey-based study to assess diagnostic and treatment approaches in pneumonia managed in intensive care
1000 Autor/in
  1. Reyes, Luis Felipe |
  2. Serrano-Mayorga, Cristian C. |
  3. Zhang, Zhongheng |
  4. Tsuji, Isabela |
  5. De Pascale, Gennaro |
  6. Prieto, Valeria Enciso |
  7. Mer, Mervyn |
  8. Sheehan, Elyce |
  9. Nasa, Prashant |
  10. Zangana, Goran |
  11. Avanti, Kostoula |
  12. Tabah, Alexis |
  13. Shrestha, Gentle Sunder |
  14. Bracht, Hendrik |
  15. Fatoni, Arie Zainul |
  16. Abidi, Khalid |
  17. bin Sulaiman, Helmi |
  18. Eshwara, Vandana Kalwaje |
  19. De Bus, Liesbet |
  20. Hayashi, Yoshiro |
  21. Korkmaz, Pervin |
  22. Ait Hssain, Ali |
  23. Buetti, Niccolò |
  24. Goh, Qing Yuan |
  25. Kwizera, Arthur |
  26. Koulenti, Despoina |
  27. Nielsen, Nathan D. |
  28. Povoa, Pedro |
  29. Ranzani, Otavio |
  30. Rello, Jordi |
  31. Conway Morris, Andrew |
  32. for the D-PRISM Investigators |
  33. Steering Committee |
  34. Reyes, Luis Felipe |
  35. Zhang, Zhongheng |
  36. Mer, Mervyn |
  37. Tabah, Alexis |
  38. Kwizera, Arthur |
  39. Koulenti, Despoina |
  40. Nielsen, Nathan D. |
  41. Povoa, Pedro |
  42. Ranzani, Otavio |
  43. Rello, Jordi |
  44. Conway Morris, Andrew |
  45. National/Regional Co-ordinators |
  46. Mphandi, Wilson |
  47. Ceccato, Adrian |
  48. Tabah, Alexis |
  49. Jahan, Ahsina |
  50. De Bus, Liesbet |
  51. Tsuji, Isabela |
  52. Zhang, Zhongheng |
  53. Reyes, Luis Felipe |
  54. Jibaja, Manuel |
  55. Alsisi, Adel |
  56. Roquilly, Antoine |
  57. Bracht, Hendrik |
  58. Arvaniti, Kostoula |
  59. Sandoval, Nancy |
  60. Eshwara, Vandana Kalwaje |
  61. Zainul, Arie |
  62. Zand, Faird |
  63. De Pascale, Gennaro |
  64. Hayashi, Yoshiro |
  65. Viderman, Dimitry |
  66. Sulaiman, Helmi bin |
  67. Lagunes, Leonel |
  68. Nasa, Prashant |
  69. Zangana, Goran |
  70. Abidi, Khalid |
  71. Shrestha, Gentle |
  72. Schouten, Jeroen |
  73. Buowari, Dabota |
  74. Hashmi, Madiha |
  75. Luque, Nestor |
  76. Nora, David |
  77. Hssain, Ali Ait |
  78. Kuzovlev, Artem |
  79. Goh, Qing Yuan |
  80. Mer, Mervyn |
  81. Rello, Jordi |
  82. Hanifa, Rashan |
  83. Sjovall, Fredrik |
  84. Buetti, Niccollò |
  85. Yeh, Tony |
  86. Korkmaz, Pervin |
  87. Kwizera, Arthur |
  88. Shaban, Nesreen |
  89. Hamed, Islam |
  90. Sheehan, Elyce |
1000 Verlag BioMed Central
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-11-22
1000 Erschienen in
1000 Quellenangabe
  • 28(1):381
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s13054-024-05180-y |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585090/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Pneumonia remains a significant global health concern, particularly among those requiring admission to the intensive care unit (ICU). Despite the availability of international guidelines, there remains heterogeneity in clinical management. The D-PRISM study aimed to develop a global overview of how pneumonias (i.e., community-acquired (CAP), hospital-acquired (HAP), and Ventilator-associated pneumonia (VAP)) are diagnosed and treated in the ICU and compare differences in clinical practice worldwide.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>The D-PRISM study was a multinational, survey-based investigation to assess the diagnosis and treatment of pneumonia in the ICU. A self-administered online questionnaire was distributed to intensive care clinicians from 72 countries between September to November 2022. The questionnaire included sections on professional profiles, current clinical practice in diagnosing and managing CAP, HAP, and VAP, and the availability of microbiology diagnostic tests. Multivariable analysis using multiple regression analysis was used to assess the relationship between reported antibiotic duration and organisational variables collected in the study.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>A total of 1296 valid responses were collected from ICU clinicians, spread between low-and-middle income (LMIC) and high-income countries (HIC), with LMIC respondents comprising 51% of respondents. There is heterogeneity across the diagnostic processes, including clinical assessment, where 30% (389) did not consider radiological evidence essential to diagnose pneumonia, variable collection of microbiological samples, and use and practice in bronchoscopy. Microbiological diagnostics were least frequently available in low and lower-middle-income nation settings. Modal intended antibiotic treatment duration was 5–7 days for all types of pneumonia. Shorter durations of antibiotic treatment were associated with antimicrobial stewardship (AMS) programs, high national income status, and formal intensive care training.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>This study highlighted variations in clinical practice and diagnostic capabilities for pneumonia, particularly issues with access to diagnostic tools in LMICs were identified. There is a clear need for improved adherence to existing guidelines and standardized approaches to diagnosing and treating pneumonia in the ICU.</jats:p> <jats:p><jats:italic>Trial registration</jats:italic> As a survey of current practice, this study was not registered. It was reviewed and endorsed by the European Society of Intensive Care Medicine.</jats:p> </jats:sec><jats:sec> <jats:title>Graphical abstract</jats:title> </jats:sec>
1000 Sacherschließung
lokal Intensive Care Units/statistics
lokal Surveys and Questionnaires [MeSH]
lokal Hospital-acquired
lokal Critical Care/standards [MeSH]
lokal Antimicrobials
lokal Anti-Bacterial Agents/therapeutic use [MeSH]
lokal Intensive care unit (ICU)
lokal Pneumonia/therapy [MeSH]
lokal Humans [MeSH]
lokal Pneumonia/drug therapy [MeSH]
lokal Intensive Care Units/organization
lokal Bronchoscopy
lokal Global Health/statistics
lokal Surveys and questionnaires
lokal Critical Care/statistics
lokal Critical Care/methods [MeSH]
lokal Ventilator-associated
lokal Research
lokal Community-acquired
lokal Pneumonia
lokal Pneumonia/diagnosis [MeSH]
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/UmV5ZXMsIEx1aXMgRmVsaXBl|https://frl.publisso.de/adhoc/uri/U2VycmFuby1NYXlvcmdhLCBDcmlzdGlhbiBDLg==|https://frl.publisso.de/adhoc/uri/WmhhbmcsIFpob25naGVuZw==|https://frl.publisso.de/adhoc/uri/VHN1amksIElzYWJlbGE=|https://frl.publisso.de/adhoc/uri/RGUgUGFzY2FsZSwgR2VubmFybw==|https://frl.publisso.de/adhoc/uri/UHJpZXRvLCBWYWxlcmlhIEVuY2lzbw==|https://frl.publisso.de/adhoc/uri/TWVyLCBNZXJ2eW4=|https://frl.publisso.de/adhoc/uri/U2hlZWhhbiwgRWx5Y2U=|https://frl.publisso.de/adhoc/uri/TmFzYSwgUHJhc2hhbnQ=|https://frl.publisso.de/adhoc/uri/WmFuZ2FuYSwgR29yYW4=|https://frl.publisso.de/adhoc/uri/QXZhbnRpLCBLb3N0b3VsYQ==|https://frl.publisso.de/adhoc/uri/VGFiYWgsIEFsZXhpcw==|https://frl.publisso.de/adhoc/uri/U2hyZXN0aGEsIEdlbnRsZSBTdW5kZXI=|https://frl.publisso.de/adhoc/uri/QnJhY2h0LCBIZW5kcmlr|https://frl.publisso.de/adhoc/uri/RmF0b25pLCBBcmllIFphaW51bA==|https://frl.publisso.de/adhoc/uri/QWJpZGksIEtoYWxpZA==|https://frl.publisso.de/adhoc/uri/YmluIFN1bGFpbWFuLCBIZWxtaQ==|https://frl.publisso.de/adhoc/uri/RXNod2FyYSwgVmFuZGFuYSBLYWx3YWpl|https://frl.publisso.de/adhoc/uri/RGUgQnVzLCBMaWVzYmV0|https://frl.publisso.de/adhoc/uri/SGF5YXNoaSwgWW9zaGlybw==|https://frl.publisso.de/adhoc/uri/S29ya21heiwgUGVydmlu|https://frl.publisso.de/adhoc/uri/QWl0IEhzc2FpbiwgQWxp|https://frl.publisso.de/adhoc/uri/QnVldHRpLCBOaWNjb2zDsg==|https://frl.publisso.de/adhoc/uri/R29oLCBRaW5nIFl1YW4=|https://frl.publisso.de/adhoc/uri/S3dpemVyYSwgQXJ0aHVy|https://frl.publisso.de/adhoc/uri/S291bGVudGksIERlc3BvaW5h|https://frl.publisso.de/adhoc/uri/TmllbHNlbiwgTmF0aGFuIEQu|https://frl.publisso.de/adhoc/uri/UG92b2EsIFBlZHJv|https://frl.publisso.de/adhoc/uri/UmFuemFuaSwgT3Rhdmlv|https://frl.publisso.de/adhoc/uri/UmVsbG8sIEpvcmRp|https://frl.publisso.de/adhoc/uri/Q29ud2F5IE1vcnJpcywgQW5kcmV3|https://frl.publisso.de/adhoc/uri/Zm9yIHRoZSBELVBSSVNNIEludmVzdGlnYXRvcnM=|https://frl.publisso.de/adhoc/uri/U3RlZXJpbmcgQ29tbWl0dGVl|https://frl.publisso.de/adhoc/uri/UmV5ZXMsIEx1aXMgRmVsaXBl|https://frl.publisso.de/adhoc/uri/WmhhbmcsIFpob25naGVuZw==|https://frl.publisso.de/adhoc/uri/TWVyLCBNZXJ2eW4=|https://frl.publisso.de/adhoc/uri/VGFiYWgsIEFsZXhpcw==|https://frl.publisso.de/adhoc/uri/S3dpemVyYSwgQXJ0aHVy|https://frl.publisso.de/adhoc/uri/S291bGVudGksIERlc3BvaW5h|https://frl.publisso.de/adhoc/uri/TmllbHNlbiwgTmF0aGFuIEQu|https://frl.publisso.de/adhoc/uri/UG92b2EsIFBlZHJv|https://frl.publisso.de/adhoc/uri/UmFuemFuaSwgT3Rhdmlv|https://frl.publisso.de/adhoc/uri/UmVsbG8sIEpvcmRp|https://frl.publisso.de/adhoc/uri/Q29ud2F5IE1vcnJpcywgQW5kcmV3|https://frl.publisso.de/adhoc/uri/TmF0aW9uYWwvUmVnaW9uYWwgQ28tb3JkaW5hdG9ycw==|https://frl.publisso.de/adhoc/uri/TXBoYW5kaSwgV2lsc29u|https://frl.publisso.de/adhoc/uri/Q2VjY2F0bywgQWRyaWFu|https://frl.publisso.de/adhoc/uri/VGFiYWgsIEFsZXhpcw==|https://frl.publisso.de/adhoc/uri/SmFoYW4sIEFoc2luYQ==|https://frl.publisso.de/adhoc/uri/RGUgQnVzLCBMaWVzYmV0|https://frl.publisso.de/adhoc/uri/VHN1amksIElzYWJlbGE=|https://frl.publisso.de/adhoc/uri/WmhhbmcsIFpob25naGVuZw==|https://frl.publisso.de/adhoc/uri/UmV5ZXMsIEx1aXMgRmVsaXBl|https://frl.publisso.de/adhoc/uri/SmliYWphLCBNYW51ZWw=|https://frl.publisso.de/adhoc/uri/QWxzaXNpLCBBZGVs|https://frl.publisso.de/adhoc/uri/Um9xdWlsbHksIEFudG9pbmU=|https://frl.publisso.de/adhoc/uri/QnJhY2h0LCBIZW5kcmlr|https://frl.publisso.de/adhoc/uri/QXJ2YW5pdGksIEtvc3RvdWxh|https://frl.publisso.de/adhoc/uri/U2FuZG92YWwsIE5hbmN5|https://frl.publisso.de/adhoc/uri/RXNod2FyYSwgVmFuZGFuYSBLYWx3YWpl|https://frl.publisso.de/adhoc/uri/WmFpbnVsLCBBcmll|https://frl.publisso.de/adhoc/uri/WmFuZCwgRmFpcmQ=|https://frl.publisso.de/adhoc/uri/RGUgUGFzY2FsZSwgR2VubmFybw==|https://frl.publisso.de/adhoc/uri/SGF5YXNoaSwgWW9zaGlybw==|https://frl.publisso.de/adhoc/uri/VmlkZXJtYW4sIERpbWl0cnk=|https://frl.publisso.de/adhoc/uri/U3VsYWltYW4sIEhlbG1pIGJpbg==|https://frl.publisso.de/adhoc/uri/TGFndW5lcywgTGVvbmVs|https://frl.publisso.de/adhoc/uri/TmFzYSwgUHJhc2hhbnQ=|https://frl.publisso.de/adhoc/uri/WmFuZ2FuYSwgR29yYW4=|https://frl.publisso.de/adhoc/uri/QWJpZGksIEtoYWxpZA==|https://frl.publisso.de/adhoc/uri/U2hyZXN0aGEsIEdlbnRsZQ==|https://frl.publisso.de/adhoc/uri/U2Nob3V0ZW4sIEplcm9lbg==|https://frl.publisso.de/adhoc/uri/QnVvd2FyaSwgRGFib3Rh|https://frl.publisso.de/adhoc/uri/SGFzaG1pLCBNYWRpaGE=|https://frl.publisso.de/adhoc/uri/THVxdWUsIE5lc3Rvcg==|https://frl.publisso.de/adhoc/uri/Tm9yYSwgRGF2aWQ=|https://frl.publisso.de/adhoc/uri/SHNzYWluLCBBbGkgQWl0|https://frl.publisso.de/adhoc/uri/S3V6b3ZsZXYsIEFydGVt|https://frl.publisso.de/adhoc/uri/R29oLCBRaW5nIFl1YW4=|https://frl.publisso.de/adhoc/uri/TWVyLCBNZXJ2eW4=|https://frl.publisso.de/adhoc/uri/UmVsbG8sIEpvcmRp|https://frl.publisso.de/adhoc/uri/SGFuaWZhLCBSYXNoYW4=|https://frl.publisso.de/adhoc/uri/U2pvdmFsbCwgRnJlZHJpaw==|https://frl.publisso.de/adhoc/uri/QnVldHRpLCBOaWNjb2xsw7I=|https://frl.publisso.de/adhoc/uri/WWVoLCBUb255|https://frl.publisso.de/adhoc/uri/S29ya21heiwgUGVydmlu|https://frl.publisso.de/adhoc/uri/S3dpemVyYSwgQXJ0aHVy|https://frl.publisso.de/adhoc/uri/U2hhYmFuLCBOZXNyZWVu|https://frl.publisso.de/adhoc/uri/SGFtZWQsIElzbGFt|https://frl.publisso.de/adhoc/uri/U2hlZWhhbiwgRWx5Y2U=
1000 Hinweis
  • DeepGreen-ID: 76b8661181ef4c6db17e69e43cbd5835 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
1000 Label
1000 Förderer
  1. Universidad de La Sabana |
  2. National Key Research and Development Program of China |
  3. National Natural Science Foundation of China |
  4. Project of Drug Clinical Evaluate Research of Chinese Pharmaceutical Association |
  5. Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung |
  6. Medical Research Council |
1000 Fördernummer
  1. -
  2. -
  3. -
  4. -
  5. -
  6. -
1000 Förderprogramm
  1. -
  2. -
  3. -
  4. -
  5. -
  6. -
1000 Dateien
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Universidad de La Sabana |
    1000 Förderprogramm -
    1000 Fördernummer -
  2. 1000 joinedFunding-child
    1000 Förderer National Key Research and Development Program of China |
    1000 Förderprogramm -
    1000 Fördernummer -
  3. 1000 joinedFunding-child
    1000 Förderer National Natural Science Foundation of China |
    1000 Förderprogramm -
    1000 Fördernummer -
  4. 1000 joinedFunding-child
    1000 Förderer Project of Drug Clinical Evaluate Research of Chinese Pharmaceutical Association |
    1000 Förderprogramm -
    1000 Fördernummer -
  5. 1000 joinedFunding-child
    1000 Förderer Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung |
    1000 Förderprogramm -
    1000 Fördernummer -
  6. 1000 joinedFunding-child
    1000 Förderer Medical Research Council |
    1000 Förderprogramm -
    1000 Fördernummer -
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6518382.rdf
1000 Erstellt am 2025-07-05T10:47:56.636+0200
1000 Erstellt von 322
1000 beschreibt frl:6518382
1000 Zuletzt bearbeitet 2025-08-19T12:24:52.731+0200
1000 Objekt bearb. Tue Aug 19 12:24:52 CEST 2025
1000 Vgl. frl:6518382
1000 Oai Id
  1. oai:frl.publisso.de:frl:6518382 |
1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
1000 Gegenstand von

View source