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Critical Care
Published in: Critical Care 2/2011

01-04-2011 | Letter

Selective digestive decontamination is superior to selective oropharyngeal decontamination

Authors: Luciano Silvestri, Nia Taylor, Durk F Zandstra, Hendrick KF van Saene

Published in: Critical Care | Issue 2/2011

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Excerpt

We are interested in the debate on the efficacy and safety of selective digestive decontamination (SDD) and selective oropharyngeal decontamination (SOD) raised by Schultz and Haas in their review [1]. …
Literature
1.
Schultz MJ, Haas LE: Antibiotics or probiotics as preventive measures against ventilator-associated pneumonia: a literature review. Crit Care 2011, 15: R18. 10.1186/cc9963PubMedCentralCrossRefPubMed
2.
de Smet AM, Kluytmans JA, Cooper BS, Mascini EM, Benus RF, van der Werf TS, van der Hoeven JG, Pickkers P, Bogaers-Hofman D, van der Meer NJ, Bernards AT, Kuijper EJ, Joore JC, Leverstein-van Hall MA, Bindels AJ, Jansz AR, Wesselimk RM, de Jongh BM, Dennesen PJ, van Asselt GJ, te Velde LF, Frenay IH, Kaasjager K, Bosh FH, van Iterson M, Thijsen SF, Kluge GH, Pauw W, de Vires JW, Kaan JA, et al.: Decontamination of the digestive tract and oropharynx in ICU patients. N Engl J Med 2009, 360: 20-31. 10.1056/NEJMoa0800394CrossRefPubMed
3.
Silvestri L, van Saene HKF, Zandstra DF, Viviani M, Gregori D: SDD, SOD or oropharyngeal chlorhexidine to prevent pneumonia and to reduce mortality in ventilated patients: which manoeuvre is evidence-based? Intensive Care Med 2010, 31: 1436-1437. 10.1007/s00134-010-1809-5CrossRef
4.
Silvestri L, van Saene HK, Weir I, Gullo A: Survival benefit of the full selective digestive decontamination regimen. J Crit Care 2009, 24: 474.e7-474.e14. 10.1016/j.jcrc.2008.11.005CrossRef
5.
de Smet AM, Kluytmans J, Blok H, Bonten M, Bootsma M: Effects of selective digestive and selective oropharyngeal decontamination on bacteraemia and respiratory tract colonization with highly resistant micro-organisms [abstract]. Clin Microbiol Infect 2010,16(Suppl 2):S98.
Metadata
Title
Selective digestive decontamination is superior to selective oropharyngeal decontamination
Authors
Luciano Silvestri
Nia Taylor
Durk F Zandstra
Hendrick KF van Saene
Publication date
01-04-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 2/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10068

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