Selective decontamination in the ICU: benefit of the doubt

Since its introduction in 1984, selective decontamination of the digestive tract has had clear supporters and opponents. De Smet et al. conducted a large national study in 13 Dutch intensive care units, investigating the effects of the following 3 regimens on mortality: standard treatment, selective...

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Published inNederlands tijdschrift voor geneeskunde Vol. 153; p. A488
Main Authors Bergmans, Dennis C J J, Zwaveling, Jan Harm
Format Journal Article
LanguageDutch
Published Netherlands 2009
Subjects
Anti-Bacterial Agents - therapeutic use
Bacteremia - epidemiology
Bacteremia - mortality
Bacteremia - prevention & control
Cross Infection - epidemiology
Cross Infection - mortality
Cross Infection - prevention & control
Decontamination - methods
Gastrointestinal Tract - microbiology
Humans
Intensive Care Units
Oropharynx - microbiology
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Abstract Since its introduction in 1984, selective decontamination of the digestive tract has had clear supporters and opponents. De Smet et al. conducted a large national study in 13 Dutch intensive care units, investigating the effects of the following 3 regimens on mortality: standard treatment, selective decontamination of the digestive tract and selective oropharyngeal decontamination. The results showed decontamination to have a clear benefit in terms of reducing mortality. Based on these results, decontamination should be used in all intensive care patients.
AbstractList Since its introduction in 1984, selective decontamination of the digestive tract has had clear supporters and opponents. De Smet et al. conducted a large national study in 13 Dutch intensive care units, investigating the effects of the following 3 regimens on mortality: standard treatment, selective decontamination of the digestive tract and selective oropharyngeal decontamination. The results showed decontamination to have a clear benefit in terms of reducing mortality. Based on these results, decontamination should be used in all intensive care patients.
Author Zwaveling, Jan Harm
Bergmans, Dennis C J J
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  givenname: Jan Harm
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Snippet Since its introduction in 1984, selective decontamination of the digestive tract has had clear supporters and opponents. De Smet et al. conducted a large...
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SubjectTerms Anti-Bacterial Agents - therapeutic use
Bacteremia - epidemiology
Bacteremia - mortality
Bacteremia - prevention & control
Cross Infection - epidemiology
Cross Infection - mortality
Cross Infection - prevention & control
Decontamination - methods
Gastrointestinal Tract - microbiology
Humans
Intensive Care Units
Oropharynx - microbiology
Title Selective decontamination in the ICU: benefit of the doubt
URI https://www.ncbi.nlm.nih.gov/pubmed/19900311
Volume 153
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