Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-28T06:42:35.435Z Has data issue: false hasContentIssue false

Effects of Chlorhexidine Oral Decontamination on Respiratory Colonization during Mechanical Ventilation in Intensive Care Unit Patients

Published online by Cambridge University Press:  02 January 2015

Douwe F. Postma*
Affiliation:
Department of Internal Medicine, Diakonessenhuis, Utrecht, the Netherlands
Sanjay U. C. Sankatsing
Affiliation:
Department of Internal Medicine, Diakonessenhuis, Utrecht, the Netherlands
Steven F. T. Thijsen
Affiliation:
Department of Medical Microbiology, Diakonessenhuis, Utrecht, the Netherlands
Henrik Endeman
Affiliation:
Department of Intensive Care Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands
*
University Medical Centre Utrecht, Julius Center for Health Sciences, PO Box 85500, 3508 GA, Utrecht, the Netherlands ([email protected])

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.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Safdar, N, Dezfulian, C, Collard, HR, Saint, S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005;33(10):21842193.CrossRefGoogle ScholarPubMed
2. Garrouste-Org, Chevret, S, Arlet, G, et al. Oropharyngeal or gastric colonization and nosocomial pneumonia in adult intensive care unit patients: a prospective study based on genomic DNA analysis. Am J Respir Crit Care Med 1997;156(5):16471655.Google Scholar
3.de Smet, AM, Kluytmans, JA, Cooper, BS, et al. Decontamination of the digestive tract and oropharynx in ICU patients. N Engl J Med 2009;360(1):2031.CrossRefGoogle ScholarPubMed
4.de la Cal, MA, Cerda, E, Garcia-Hierro, P, et al. Pneumonia in patients with severe burns: a classification according to the concept of the carrier state. Chest 2001;119(4):11601165.CrossRefGoogle Scholar
5.Koeman, M, van der Ven, AJ, Hak, E, et al. Oral decontamination with Chlorhexidine reduces the incidence of ventilator-associated pneumonia. Am JRespir Crit Care Med 2006;173(12):13481355.CrossRefGoogle ScholarPubMed
6.Tantipong, H, Morkchareonpong, C, Jaiyindee, S, Thamlikitkul, V. Randomized controlled trial and meta-analysis of oral decontamination with 2% Chlorhexidine solution for the prevention of ventilator-associated pneumonia. Infect Control Hosp Epidemiol 2008;29(2):131136.CrossRefGoogle ScholarPubMed
7.Bellissimo-Rodrigues, F, Bellissimo-Rodrigues, WT, Viana, JM, et al. Effectiveness of oral rinse with Chlorhexidine in preventing nosocomial respiratory tract infections among intensive care unit patients. Infect Control Hosp Epidemiol 2009;30(10): 952958.CrossRefGoogle ScholarPubMed
8.Scannapieco, FA, Yu, J, Raghavendran, K, et al. A randomized trial of Chlorhexidine gluconate on oral bacterial pathogens in mechanically ventilated patients. Crit Care 2009;13(4):R117.CrossRefGoogle ScholarPubMed
9.Lim, KS, Kam, PC. Chlorhexidine: pharmacology and clinical applications. Anaesth Intensive Care 2008;36(4):502512.CrossRefGoogle ScholarPubMed
10.Reichel, M, Heisig, P, Kampf, G. Pitfalls in efficacy testing-how important is the validation of neutralization of Chlorhexidine digluconate? Ann Clin Microbiol Antimicrob 2008;7:20.CrossRefGoogle ScholarPubMed