Home > Riviste > Minerva Anestesiologica > Fascicoli precedenti > Minerva Anestesiologica 2011 February;77(2) > Minerva Anestesiologica 2011 February;77(2):212-9

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Estratti
Permessi

 

REVIEWS   Freefree

Minerva Anestesiologica 2011 February;77(2):212-9

Copyright © 2011 EDIZIONI MINERVA MEDICA

lingua: Inglese

Selective decontamination of the digestive tract as infection prevention in the critically ill. A level 1 evidence-based strategy

Zandstra D. F. 1, Van Saene H. K. F. 2

1 Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands; 2 Department of Clinical Microbiology and Infection Control, Royal Liverpool Children’s NHS, Trust of Alderhey, Liverpool, UK


PDF


Selective decontamination of the digestive tract (SDD) evolved into evidence-based medicine as a tool to prevent infections in critically ill patients. It significantly reduces mortality, pneumonia, bloodstream infections and the onset of resistance if the full four-component regimen is used. The use of only oral decontamination may reduce the incidence of pneumonia, but it has no significant impact on mortality. Moreover, the full SDD protocol significantly reduces the fecal carriage of multiresistant aerobic Gram-negative bacteria, whereas oral decontamination only is associated with increased carriage of multiresistant aerobic Gram-negative bacilli.

inizio pagina