Published in:
01-07-2005 | Correspondence
Comment on “Risk factors for late-onset ventilator-associated pneumonia in trauma patients receiving selective digestive decontamination” by Leone et al.
Authors:
Mark A. Fox, Richard E. Sarginson, Durk F. Zandstra, Iwan Meynaar, Hendrik K. van Saene
Published in:
Intensive Care Medicine
|
Issue 7/2005
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Excerpt
Sir: We read with interest the contribution by Leone et al. [
1] as we had a similar experience [
2] with lower airway infections due to ‘community’ respiratory pathogens after modifying the original selective digestive decontamination’ (SDD) protocol. We used cephradine instead of cefotaxime as parenteral component of SDD in cardiac patients, and lower airway infections due to
Haemophilus influenzae were diagnosed in 41% of our patients [
2]. Sixty percent of the trauma patients developed pneumonia due to
H. influenzae and other ‘community’ bacteria in the French study, using cefazolin. We believe that the Marseille experience is a result of modifying the parenteral component and does not represent an ‘outbreak’. …