Respiratory Infection following Tracheostomy

Gotsman, Mervyn S.; Whitby, J. L.

doi:10.1136/thx.19.1.89

Cited by 57 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…entiate between colonization and clinical infection [2], but also to try to assess the various factors that may influence the ac quisition of these bacteria [3].…”

Section: Introductionmentioning

confidence: 99%

Bacterial Colonization in Intubated Newborns

Brook¹,

Martin²

1980

Respiration

View full text Add to dashboard Cite

The bacteriology of tracheal aspirates from 127 newborns was studied. Specimens were obtained twice a week as long as the newborns were intubated. Each newborn had between one and eight specimens taken (average 1.7). 127 babies had one specimen taken, 38 had two, 25 had three, 12 had four, and 10 had more than four specimens taken, which made a total of 212 specimens. No bacterial or fungal growth was obtained from 65 specimens, whereas the remaining specimens (147) yielded 209 bacterial and fungal isolates accounting for 1.4 isolates per specimen. The total isolates recovered were 168 aerobes, 36 anaerobes, and 5 Candida albicans. Of this total, 70 specimens yielded one isolate, 48 two isolates, 6 three isolates, 5 four isolates, and one aspirate yielded five isolates. 78 newborns (61%) received antimicrobial therapy. A higher incidence of positive cultures and the presence of more than one organism per culture were found in those infants not receiving antibiotics. More isolates per specimen were noted with increasing time of incubation. The rate of isolation Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae remained constant with increased length of intubation, the rate of recovery of Staphylococcus epidermidis, viridans group streptococci, and Propionibacterium acnes increased, and the rate of isolation of Escherichia coli and anaerobic organisms decreased

show abstract

“…entiate between colonization and clinical infection [2], but also to try to assess the various factors that may influence the ac quisition of these bacteria [3].…”

Section: Introductionmentioning

confidence: 99%

Bacterial Colonization in Intubated Newborns

Brook¹,

Martin²

1980

Respiration

View full text Add to dashboard Cite

show abstract

“…The occurrence of nosocomial infections with multidrug-resistant Acinetobacter and Pseudomonas is a growing problem. 25 Acinetobacter was the most common organism isolated from the tracheal tube of hospitalized patient followed by P. aeruginosa and S. aureus in a study done by Abdollahi A et al 26 We observed stomal infection in five of our patients. The reported incidence of stomal infection varies from 4% to 63% for surgical and 0% to 10% for percutaneous tracheostomy.…”

Section: Discussionmentioning

confidence: 97%

Colonization and infection in tracheostomized patients at tertiary care hospital in Eastern Nepal

Acharya¹,

Wakode

Bhandary

et al. 2015

Health Renaissance

View full text Add to dashboard Cite

Introduction: Tracheostomy is a life saving emergency procedure and provides many benefits for long term ventilator dependent patients. However, colonization and infection of airways after tracheostomy is one of the serious complications increasing patient morbidity and mortality. Objective: To find out the colonizing agent in the trachea of tracheostomized patients and the type and frequency of post tracheostomy infection. Methods: Study was conducted in 30 consecutive, adult patients requiring either elective or emergency tracheostomy at BPKIHS, Nepal. First and second tracheal swab was obtained immediately after tracheostomy and on the seventh day. Micro-organisms isolated from the culture of tracheal swab were noted. Patients were observed for infectious complications after tracheostomy. Results: Eighteen (60%) tracheostomies were performed electively and 12(40%) as an emergency. Sixty-eight isolates were grown from the culture of tracheal swabs. Out of 60 tracheal swabs, nine showed sterile culture. Single micro-organism was isolated from 35(58.33%) tracheal swabs and polybacterial isolation was seen in 16(26.66%) swabs. Pseudomonas aeroginosa was the commonest micro-organism isolated. After Pseudomonas, Staphylococcus aureus in the first culture and Acinetobacter anitratus in the second culture was the commonest organisms isolated. Five (16.6%) patients developed stomal infection and three (10.0%) developed pneumonia as a complication of tracheostomy. Conclusion: Trachea of the tracheostomized patients is heavily colonized by Pseudomonas aeruginosa, Acinetobacter anitratus and Staphyloccus aureus . Stomal infection and pneumonia are the infectious complication occurring within seven days of tracheostomy.

show abstract

“…• Tracheal colonization Colonization is precocious (less than two weeks [7], even from the first day [8]), polymicrobic (aerobic, anaerobic [7,9,10] and fungal [8], in 80 to 100% of cases) [7,11,12].…”

Section: Recommendationsmentioning

confidence: 99%

“…Most of reported bacteriology studies [7][8][9][10][11][12] are now outdated and microbial ecology has probably been improved since. Most frequent aerobic bacteria were Pseudomonas aeruginosa (in up to 75% of patients), Haemophilus influenzae, Klebsiella pneumoniae, Staphylococcus aureus, Serratia marcescens, Proteus sp, alphahemolysis Streptococcus group, Acinetobacter baumanii.…”

Section: Recommendationsmentioning

confidence: 99%

Tracheotomy/Tracheostomy Management at Home and in Care Centers

Buiret¹

2016

Arch Otolaryngol Rhinold

View full text Add to dashboard Cite

Aim and objectives: Formalize a consensus about patient's care management (nursing techniques, management of complications) with tracheotomy or tracheostomy at home and in care center. Background: Tracheotomy and tracheostomy are medical devices used for many years thus inspiring fear mainly by their symbolic impacts and the lack of training of health professionals. Design: This study is a mixed research with a qualitative methodology including iterative focus groups. Methods: A national call for project was performed on Internet to recruit multi-professional volunteers early 2015, anyone was accepted. Seven phone call with focus groups, each 2 hours, were set during 2015. Finally the project was presented and validated in "Guidelines and French Oncology Networks" J2R congress in Nantes, France in December 2015 and published on the web. Results: Definitions, anatomic and physiologic notions, then the different types of cannulas are presented in the document. The management of tracheotomy/tracheostomy daily cares with protocols and videos, of the complications (infections, bleeding …), of functional sequelae (phonation, swallowing) at home and in care centers is then explained and demonstrated. Conclusions: Finally, this work has led to a national consensus on the management, at home and in care centers, of tracheotomy and tracheostomy management and their potential complications. Relevance to clinical practice: Such a work has never been done before. It aims to be comprehensive and didactic by means of figures and decision trees. This study will be useful and could be implemented despite local habits.

show abstract

Respiratory Infection following Tracheostomy

Cited by 57 publications

References 15 publications

Bacterial Colonization in Intubated Newborns

Bacterial Colonization in Intubated Newborns

Colonization and infection in tracheostomized patients at tertiary care hospital in Eastern Nepal

Tracheotomy/Tracheostomy Management at Home and in Care Centers

Contact Info

Product

Resources

About