Selective decontamination of the digestive tract reduced intensive care unit and hospital mortality in adults.
نویسنده
چکیده
de Jonge E, Schultz MJ, Spanjaard L, et al. Effects of selective decontamination of digestive tract on mortality and acquisition of resistant bacteria in intensive care: a randomised controlled trial. Lancet 2003;362:1011–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q Does selective decontamination of the digestive tract (SDD) reduce mortality and acquisition of resistant bacteria in adult patients in the intensive care unit (ICU)?
منابع مشابه
Selective decontamination of the digestive tract in surgical patients: a systematic review of the evidence.
OBJECTIVE To determine the comparative efficacy of selective decontamination of the digestive tract in critically ill surgical and medical patients, and in selected subgroups of surgical patients with pancreatitis, major burn injury, and those undergoing major elective surgery and transplantation. DATA SOURCES The MEDLINE database was searched from January 1966 to December 1996 using the term...
متن کاملSelective digestive or oropharyngeal decontamination and topical oropharyngeal chlorhexidine for prevention of death in general intensive care: systematic review and network meta-analysis
OBJECTIVES To determine the effect on mortality of selective digestive decontamination, selective oropharyngeal decontamination, and topical oropharyngeal chlorhexidine in adult patients in general intensive care units and to compare these interventions with each other in a network meta-analysis. DESIGN Systematic review, conventional meta-analysis, and network meta-analysis. Medline, Embase,...
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 کاملSelective decontamination of the digestive tract in critically ill children: systematic review and meta-analysis.
OBJECTIVE We examined the impact of selective decontamination of the digestive tract on morbidity and mortality in critically ill children. DATA SOURCES We searched MEDLINE, EMBASE, the Cochrane Register of Controlled Trials, and previous meta-analyses. STUDY SELECTION We included all randomized controlled trials comparing administration of enteral antimicrobials in selective decontaminatio...
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:
- Evidence-based nursing
دوره 7 2 شماره
صفحات -
تاریخ انتشار 2004