ArticleFrontiers in medicine2025
Effect of sivelestat sodium on the incidence of ventilator-associated pneumonia in patients with sepsis and ARDS.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To evaluate the efficacy of sivelestat sodium in reducing ventilator-associated pneumonia (VAP) in patients with sepsis and acute respiratory distress syndrome (ARDS). Methods: A retrospective analysis was performed on the clinical data of 187 adult patients with sepsis combined with ARDS admitted to the intensive care unit (ICU) of Fuyang Second People's Hospital from 1 January 2022 to 1 December 2024. Among these patients, 60 received sivelestat sodium as part of their treatment, while 127 did not. The treatment efficacy indices were oxygenation index (PaO Results: There were no significant differences in age, sex, comorbidities, use of hormones, use of vasoactive drugs, APACHE II score, or SOFA score between the two groups before treatment. Compared with patients who did not receive sivelestat sodium, those treated with sivelestat sodium had significantly lower incidences of VAP (χ Conclusion: Sivelestat sodium therapy was associated with a reduced incidence of VAP and a shorter ICU stay in patients with ARDS. However, there was no significant benefit on 28 days survival or total hospital stay.
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