Selective decontamination of the gastrointestinal tract in patients undergoing esophageal resection

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Selective decontamination of the gastrointestinal tract in patients undergoing esophageal resection

BACKGROUND Selective decontamination of the digestive tract (SDD) to eliminate gram-negative bacteria is still not widely accepted, although it reduces the incidence of nosocomial infections. In a previous retrospective study, a clear benefit to perioperative morbidity, and a reduction in nosocomial infections were found in patients who underwent an esophageal anastomosis. Thus, SDD was applied...

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Selective decontamination of the digestive tract.

Ventilator-associated pneumonia usually originates from the patient's oropharyngeal microflora. In selective digestive decontamination, topical antibiotics are applied to the oropharynx and stomach for prevention of pneumonia and other infections, possibly reducing infection-related mortality. Selective digestive decontamination is also used for the prevention of gut-derived infections in acute...

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Selective Decontamination of the Gastrointestinal Tract: A Possible Strategy to Reduce Infection in High-Risk Populations

The microbial ecology in the human digestive tract is diverse and here environmental triggers, immune signals and genetic susceptibility can affect the human host’s response to infection [1]. Selective decontamination has emerged as a potential treatment for patients at high risk of infection such as those; in the critical care environments, undergoing invasive surgical operations, or with sign...

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Selective decontamination of the digestive tract and selective oropharyngeal decontamination in intensive care unit patients: a cost-effectiveness analysis

OBJECTIVE To determine costs and effects of selective digestive tract decontamination (SDD) and selective oropharyngeal decontamination (SOD) as compared with standard care (ie, no SDD/SOD (SC)) from a healthcare perspective in Dutch Intensive Care Units (ICUs). DESIGN A post hoc analysis of a previously performed cluster-randomised trial (NEJM 2009;360:20). SETTING 13 Dutch ICUs. PARTICI...

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The impact of incidental gastrointestinal stromal tumours on patients undergoing resection of upper gastrointestinal neoplasms.

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ژورنال

عنوان ژورنال: BMC Surgery

سال: 2010

ISSN: 1471-2482

DOI: 10.1186/1471-2482-10-36