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Title:The effects of topical antibiotics on eradication and acquisition of third-generation cephalosporin and carbapenem-resistant Gram-negative bacteria in ICU patients : ǂa ǂpost hoc analysis from a multicentre cluster-randomized trial
Authors:ID Plantinga, Nienke L. (Author)
ID Wittekamp, Bastiaan H. (Author)
ID Tomič, Viktorija, Klinika Golnik (With a unit linked name)
ID Šifrer, Franc, Klinika Golnik (With a unit linked name)
ID Brun-Buisson, Christian (Author)
ID Bonten, Marc J. M. (Author)
ID Tomič, Viktorija (Research coworker)
ID Šifrer, Franc (Research coworker)
Files:URL URL - Source URL, visit https://www.clinicalmicrobiologyandinfection.com/action/showPdf?pii=S1198-743X%2819%2930440-9
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo UKPBAG - University Clinic of Respiratory and Allergic Diseases Golnik
Abstract:Objectives: The aim was to quantify the effects of selective digestive tract decontamination (SDD) consisting of a mouth paste and gastro-enteral suspension, selective oropharyngeal decontamination with a mouth paste (SOD) and 1-2% chlorhexidine (CHX) mouthwash on eradication and acquisition of carriage of third-generation cephalosporin-resistant Enterobacterales (3GCR-E) and carbapenem-resistant Gram-negative bacteria (CR-GNB) in Intensive Care Unit (ICU) patients. Methods: This was a nested cohort study within a cluster-randomized cross-over trial in six European countries and 13 ICUs with 8665 patients. Eradication and acquisition during ICU stay of 3GCR-E and CRGNB were investigated separately in the rectum and respiratory tract for the three interventions and compared with standard care (SC) using Cox-regression competing events analyses. Results: Adjusted cause specific hazard ratios (CSHR) for eradication of rectal carriage for SDD were 1.76 (95% CI 1.31-2.36) for 3GCR-E and 3.17 (95% CI 1.60-6.29) for CR-GNB compared with SC. For the respiratory tract, adjusted CSHR for eradication of 3GCR-E were 1.47 (0.98-2.20) for SDD and 1.38 (0.92-2.06) for SOD compared with SC, and for eradication of CR-GNB these were 0.77 (0.41-1.45) for SDD and 0.81 (0.44-1.51) for SOD, compared with SC. Adjusted CSHRs for acquisition of rectal carriage during SDD (compared with SC) were 0.51 (0.40-0.64) for 3GCR-E and of 0.56 (0.40-0.78) for CR-GNB. Adjusted CSHRs for acquiring respiratory tract carriage with 3GCR-E compared with SC were 0.38 (0.28-0.50) for SDD and 0.55 (0.42-0.71) for SOD, and for CR-GNB 0.46 (0.33-0.64) during SDD and 0.60 (0.44-0.81) during SOD, respectively. SOD was not associated with eradication or acquisition of 3GCR-E and CR-GNB in the rectum. Conclusions: Among mechanically ventilated ICU patients, SDD was associated with more eradication and less acquisition of 3GCR-E and CR-GNB in the rectum than SC. SDD and SOD were associated with less acquisition of both 3GCR-E and CR-GNB than SC in the respiratory tract.
Keywords:intensive care units -- analysis -- epidemiology, bacterial drug resistance, anti-infective agents -- therapeutic use decontamination, beta-lactamases, Gram-negative bacteria, gastrointestinal tract -- microbiology -- drug therapy, cohort studies, colonization, ESBL, digestive tract
Publication status:Published
Publication version:Version of Record
Place of publishing:Velika Britanija
Publisher:Elsevier
Year of publishing:2020
Number of pages:str. 485-491
Numbering:Vol. 26, iss. 4
PID:20.500.12556/DiRROS-15121 New window
UDC:579
ISSN on article:1469-0691
DOI:10.1016/j.cmi.2019.08.001 New window
COBISS.SI-ID:2048615537 New window
Copyright:© 2019 European Society of Clinical Microbiology and Infectious Disease
Note:Sodelavca pri raziskavi iz Slovenije: Viktorija Tomič, Franc Šifrer; Nasl. z nasl. zaslona; Opis vira z dne 15. 1. 2020;
Publication date in DiRROS:27.05.2022
Views:497
Downloads:198
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Record is a part of a journal

Title:Clinical microbiology and infection
Shortened title:Clin. microbiol. infect.
Publisher:Blackwell Science
ISSN:1469-0691
COBISS.SI-ID:58958081 New window

Secondary language

Language:Undetermined
Keywords:enote intenzivne terapije -- analiza -- epidemiologija, bakterijska odpornost na zdravila, sredstva proti okužbam -- terapevtska raba, dekontaminacija, beta-laktamaze, Gramnegativne bakterije, gastrointestinalni trakt -- mikrobiologija -- terapija z zdravili, kohortne študije, kolonizacija, ESBL, prebavni trakt


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