دورية أكاديمية
أعرض في EDS

Decontamination of the digestive tract and oropharynx: hospital acquired infections after discharge from the intensive care unit.

التفاصيل البيبلوغرافية
العنوان: Decontamination of the digestive tract and oropharynx: hospital acquired infections after discharge from the intensive care unit.
المؤلفون: de Smet AM; Division of Perioperative and Emergency Care, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. a.desmet@umcutrecht.nl, Hopmans TE, Minderhoud AL, Blok HE, Gossink-Franssen A, Bernards AT, Bonten MJ
المصدر: Intensive care medicine [Intensive Care Med] 2009 Sep; Vol. 35 (9), pp. 1609-13. Date of Electronic Publication: 2009 Jun 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: United States NLM ID: 7704851 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1238 (Electronic) Linking ISSN: 03424642 NLM ISO Abbreviation: Intensive Care Med Subsets: MEDLINE
أسماء مطبوعة: Publication: New York : Springer Verlag
Original Publication: Berlin ; New York, Springer International.
مواضيع طبية MeSH: Decontamination* , Patient Discharge*, Cross Infection/*epidemiology , Gastrointestinal Tract/*microbiology , Oropharynx/*microbiology, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Netherlands/epidemiology ; Prospective Studies ; Young Adult
مستخلص: Objective: To determine the incidence rates of hospital acquired infections (HAI) during the first 14 days after ICU discharge after treatment during ICU-stay with Selective Decontamination of the Digestive tract (SDD), Selective Oropharyngeal Decontamination (SOD) or Standard Care (SC).
Design: Prospective observational study.
Setting: ICUs in two tertiary care hospitals.
Patients: Patients discharged from the ICU to the ward.
Interventions: None.
Measurements and Results: Post-ICU incidences of HAI per 1,000 days at risk were 11.2, 12.9 and 8.3 for patients that had received SDD (n = 296), SOD (n = 286) or SC (n = 289) respectively in ICU, yielding relative risks, as compared to SC, of 1.49 (CI(95) 0.9-2.47) for SOD and 1.44 (CI(95) 0.87-2.39) for SDD. Incidences of surgical site infections (per 100 surgical procedures) were 4 after SC and 11.8 and 8 after SOD and SDD (p = 0.04). Among patients that succumbed in the hospital after ICU-stay (n = 58) eight (14%) had developed HAI after ICU discharge; 3 of 21 after SDD, 3 of 15 after SOD and 2 of 22 after SC.
Conclusions: Incidences of HAI in general wards tended to be higher in patients that had received either SDD or SOD during ICU-stay, but it seems unlikely that these infections have an effect on hospital mortality rates.
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تواريخ الأحداث: Date Created: 20090625 Date Completed: 20091222 Latest Revision: 20211020
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC2726913
DOI: 10.1007/s00134-009-1554-9
PMID: 19551370
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-1238
DOI:10.1007/s00134-009-1554-9