Comment on: Selective decontamination of the oropharynx and the digestive tract, and antimicrobial resistance: a 4 year ecological study in 38 intensive care units in the Netherlands.
نویسندگان
چکیده
Paediatric and Neonatal Intensive Care Unit, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK; Emergency Department, Unit of Anaesthesia and Intensive Care, Presidio Ospedaliero, Gorizia, Italy; Institute of Ageing and Chronic Disease, University of Liverpool, Duncan Building, Daulby Street, Liverpool L69 3GA, UK; Paediatric Intensive Care Unit, Department of Paediatrics, Santa Maria University Hospital, Lisbon, Portugal; Department of Critical Care Medicine, Hospital Universitario de Getafe, Madrid, Spain; Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, 1090 HM Amsterdam, The Netherlands
منابع مشابه
Selective decontamination of the oropharynx and the digestive tract, and antimicrobial resistance: a 4 year ecological study in 38 intensive care units in the Netherlands.
OBJECTIVES Selective oropharyngeal decontamination (SOD) and selective decontamination of the digestive tract (SDD) are associated with improved outcomes among patients in intensive care units (ICUs), but uncertainty remains about their long-term effects on resistance levels. We determined trends in antibiotic resistance among Gram-negative bacteria in 38 Dutch ICUs using and not using SOD/SDD....
متن کاملShould selective digestive decontamination be used in critically ill patients?
Healthcare associated infection represents a major burden for critically ill patients; a recent point prevalence survey by the Health Protection Agency observed that 23.4% of patients in intensive care units had evidence of a healthcare associated infection.Ventilator associated pneumonia remains the leading cause of nosocomial infection in this population, and, although recent estimates of att...
متن کاملReply to "colistin resistance during selective digestive tract decontamination is uncommon".
D. F. Zandstra, J. H. Rommes, M. A. de la Cal, L. Silvestri, N. Taylor, H. K. F. van Saene ‹Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Intensive Care Unit, Gelre Ziekenhuizen, Apeldoorn, The Netherlands; Department of Intensive Care Medicine, Hospital Universitario de Getafe, Getafe, Spain; Department of Emergency, Unit of Anesthesia and Intensive Care...
متن کاملDecontamination of cephalosporin-resistant Enterobacteriaceae during selective digestive tract decontamination in intensive care units.
OBJECTIVES Prevalences of cephalosporin-resistant Enterobacteriaceae are increasing globally, especially in intensive care units (ICUs). The effect of selective digestive tract decontamination (SDD) on the eradication of cephalosporin-resistant Enterobacteriaceae from the intestinal tract is unknown. We quantified eradication rates of cephalosporin-resistant and cephalosporin-susceptible Entero...
متن کاملSelective Decontamination of the Digestive Tract Reduces Pneumonia and Mortality
Selective decontamination of the digestive tract (SDD) has been subject of numerous randomized controlled trials in critically ill patients. Almost all clinical trials showed SDD to prevent pneumonia. Nevertheless, SDD has remained a controversial strategy. One reason for why clinicians remained reluctant to implement SDD into daily practice could be that mortality was reduced in only 2 trials....
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ورودعنوان ژورنال:
- The Journal of antimicrobial chemotherapy
دوره 69 3 شماره
صفحات -
تاریخ انتشار 2014