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Tag: infection

Impact of Tracheotomy on Colonization and Infection of Lower Airways in Children Requiring Long-term Ventilation: Conclusion

Our observational cohort study demonstrated that the placement of tracheotomy did achieve its clinical goal, ie, although practically all children with tracheotomies were colonized, they suffered significantly fewer infections (one of four patients). Some physicians may argue that this infection rate of 27% does not justify preventative interventions. Although the main problem was of primary […]

Impact of Tracheotomy on Colonization and Infection of Lower Airways in Children Requiring Long-term Ventilation: Discussion

The adult and pediatric populations differ in their PPMs colonizing and infecting the lower airways. The few adult longitudinal tracheotomy studies using serial paired surveillance and diagnostic samples invariably report colonization and infection by aerobic Gram-negative bacilli. Our study shows that half of all exogenous colonization and infection episodes in children with tracheotomy are caused […]

Impact of Tracheotomy on Colonization and Infection of Lower Airways in Children Requiring Long-term Ventilation: End Points of the Study

Percentage of Patients Colonized and/or Infected: This was calculated by obtaining the total number of patients who developed one or more episodes of colonization or infection during the two study episodes pretracheotomy and posttracheotomy, and dividing by the total number of patients enrolled in each episode X100. Incidence of Infection Episodes per 1,000 Ventilation Days: […]

Impact of Tracheotomy on Colonization and Infection of Lower Airways in Children Requiring Long-term Ventilation: Tracheotomy

All tracheotomies were performed electively using the routine methods employed in children by most authorities. The immediate aftercare, including daily stoma care, suctioning, and change of tracheotomy tube, was done under strict protocols of hygiene and sterility. Antibiotic Policy During the Study No prophylaxis was implemented at any stage during both episodes of artificial ventilation. […]