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氯己定口腔去污对重症监护病房机械通气患者呼吸定植的影响。

Effects of chlorhexidine oral decontamination on respiratory colonization during mechanical ventilation in intensive care unit patients.

机构信息

Department of Internal Medicine, Diakonessenhuis, Utrecht, the Netherlands.

出版信息

Infect Control Hosp Epidemiol. 2012 May;33(5):527-30. doi: 10.1086/665325. Epub 2012 Mar 20.

Abstract

We conducted a retrospective cohort study to assess respiratory colonization before and after the use of chlorhexidine oral decontamination among a cohort of intensive care unit patients who received mechanical ventilation. We observed a decrease in the prevalence of Enterobacteriaceae and an increase in the incidence of fungal colonization. Chlorhexidine oral decontamination might have a differential effect on respiratory colonization.

摘要

我们进行了一项回顾性队列研究,评估了机械通气的重症监护病房患者在使用洗必泰口腔去污前后的呼吸道定植情况。我们观察到肠杆菌科的流行率下降,真菌定植的发生率增加。洗必泰口腔去污可能对呼吸道定植有不同的影响。

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