RT Journal Article
SR Electronic
T1 Effects of a Simple Protocol on Infective Complications in Intensive Care Unit Patients Undergoing Percutaneous Dilatational Tracheostomy
JF Respiratory Care
FD American Association for Respiratory Care
SP 29
OP 37
VO 48
IS 1
A1 Jacobs, Sydney
A1 Al Rasheed, Abdul Mohsen
A1 Abdulsamat, Wadood
A1 Al Barrak, Ali
A1 Al Omer, Nasser Fawzan
A1 Tjan, David
A1 Zuleika, Mehrun
A1 Ahmed, Faham
A1 Enani, Mushera
YR 2003
UL http://rc.rcjournal.com/content/48/1/29.abstract
AB In our intensive care unit we monitored infection in 228 patients who underwent percutaneous dilatational tracheostomy (PDT). In the first phase of the study 128 PDTs were performed during a 33-month period and there were 41 infection complications (nosocomial pneumonia, bacteremia with sepsis, and septic shock) in the perioperative period (immediately prior to and for 5 days after PDT). A significant risk factor among patients with nosocomial pneumonia was empirical administration of inappropriate antibiotics, compared to appropriate antibiotics (34% versus 4%, p < 0.001). In the second phase of the study (a 30-month period), a simple antibiotics protocol was prospectively applied to 100 PDT patients. The protocol virtually eliminated inappropriate antibiotic drug use immediately prior to PDT and contributed to a significant reduction in perioperative infective complications (pre-protocol 32% versus protocol 11%, p < 0.001).