Selective Decontamination of the Digestive Tract (SDD), a standard of care
نویسندگان
چکیده
Richard E Sarginson, Andy J Petros, Nia Taylor, Mark A Fox, Ian Weir, Luciano Silvestri, Hendrick KF van Saene, Miguel Angel de la Cal Department of Paediatric Anaesthesia, RLCNHS Trust Alder Hey, Eaton Road, Liverpool L12 2AP Paediatric and Neonatal Intensive Care Unit, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH School of Clinical Sciences, Duncan Building, Daulby Street, Liverpool L69 3GA Department of Cardiothoracic Anaesthesia, The Liverpool Heart and Chest Hospital NHS Foundation Trust, Thomas Drive, Liverpool L14 3PE Department of Cardiothoracic Surgery, London Chest Hospital, London F2 9JX Department of Emergency, Unit of Anesthesia and Intensive Care, Presidio Ospedaliero, Gorizia, Italy School of Clinical Sciences, Duncan Building, Daulby Street, Liverpool L69 3GA; Tel: 00 44 151 706 4923; Fax: 00 44 151 706 5803; Email: [email protected] Department of intensive Care, University Hospital of Getafe, Getafe Spain
منابع مشابه
Physicians' and nurses' opinions on selective decontamination of the digestive tract and selective oropharyngeal decontamination: a survey
INTRODUCTION Use of selective decontamination of the digestive tract (SDD) and selective oropharyngeal decontamination (SOD) in intensive care patients has been controversial for years. Through regular questionnaires we determined expectations concerning SDD (effectiveness) and experience with SDD and SOD (workload and patient friendliness), as perceived by nurses and physicians. METHODS A su...
متن کاملSelective digestive decontamination is superior to selective oropharyngeal decontamination
are interested in the debate on the effi cacy and safety of selective digestive decontamination (SDD) and selective oropharyngeal decontamination (SOD) raised by Schultz and Haas in their review [1]. Th e authors concluded that 'SDD and SOD are equally eff ective with respect to the prevention of mortality' [1]. Th is statement is based on the results of a Dutch randomized controlled trial [2],...
متن کاملSelective decontamination of the digestive tract reduced intensive care unit and hospital mortality in adults.
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
متن کاملSelective 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...
متن کاملMouthwash Is Great for Critically Ill Patients Decontamination of the Digestive Tract and Oropharnyx in ICU Patients
Background: Infectious complications remain a major concern in critically ill patients. Preventive measures are clearly better than treatment. Selective decontamination (SDD) of the upper digestive tract is one method that has had mixed results. Numerous questions exist as to whether or not gastrointestinal (GI) decontamination should be routine or not. Objective: To determine the effectiveness...
متن کاملSelective decontamination of the digestive tract reduces mortality in critically ill patients
Several emotional responses may be invoked in critical care physicians when confronted with selective decontamination of the digestive tract (SDD). Although recent meta-analyses have shown that the use of SDD reduces the occurrence of ventilator-associated pneumonia and improves ICU survival, the effectiveness of SDD has remained controversial. We recently concluded a large randomized, controll...
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