Effect of timing of tracheostomy on changes in bacterial colonisation of the lower respiratory tract in burned children

Lipový, Břetislav; Brychta, Pavel; Řihová, Hana; Suchánek, Ivan; Hanslianová, Markéta; Cvanová, Michaela; Chaloupková, Zuzana; Gregorová, Nora; Hufová, Iva

doi:10.1016/j.burns.2012.05.023

Cited by 12 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When extubation time cannot be immediately foreseen, early tracheostomy (within the first 7-10 days) is preferred for older children and adolescents (17,19). There are some studies that support early tracheostomy for children in selected indications (17,(20)(21)(22)(23). Although many studies have been published in the literature supporting early tracheostomy application in patients with endotracheal intubation and respiratory support in mechanical ventilators in PICU, our recommendation will be for focused (individually) decision making.…”

Section: Discussionmentioning

confidence: 99%

Pediatric intensive care unit tracheostomy experiences in Ondokuz Mayıs University Faculty of Medicine

METE¹,

Akça²,

Yener³

2022

J. Exp. Clin. Med.

View full text Add to dashboard Cite

In this study; patients who underwent conventional tracheostomy while being followed up on a mechanical ventilator with endotracheal intubation in their pediatric intensive care unit were evaluated retrospectively. It was aimed to share the positive changes observed in clinical-mechanical ventilator parameters with the literature. Study data were obtained from the hospital information management system and recorded in the "Child Patient Evaluation Form with Tracheostomy" as follows: Demographic data, diagnosis of admission to pediatric intensive care unit, indications for mechanical ventilation and tracheostomy, changes in post-procedure mechanical ventilation parameters, tracheostomy complications, decannulation, survival and death rates etc. Post-discharge medical records were created by telephone interviews with parents. IBM SPSS 21 (Statistical Package for Social Sciences) program was used for statistical analysis. In our study; the most common indication (67.0%) for tracheostomy was the need for prolonged mechanical ventilation. Peak inspiratory pressure requirement on mechanical ventilator decreased statistically and tidal volume increased significantly in those who underwent tracheostomy due to prolonged mechanical ventilation requirement (both p<0.001). On the other hand, the mean length of stay in the pediatric intensive care unit after the procedure was statistically significantly shorter (p<0.001). Decannulation success was statistically significantly higher in those who underwent tracheostomy due to upper airway obstruction (p<0.02). In our study; only four (6.2%) patients died due to tracheotomy (cannula occlusion, unplanned decannulation, etc.). Clinicians should consider tracheostomy if extubation cannot be achieved in children and adolescents who have been given mechanical ventilation for a long time (>2-4 weeks) due to progressive primary disease. Tracheotomy should definitely be performed within appropriate medical indications in order to shorten the length of stay in the hospital/Pediatric intensive care unit and to provide medical care outside the hospital (e.g.; a suitable home environment) in order to create general psychosocial-physical well-being in the patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Pediatric intensive care unit tracheostomy experiences in Ondokuz Mayıs University Faculty of Medicine

METE¹,

Akça²,

Yener³

2022

J. Exp. Clin. Med.

View full text Add to dashboard Cite

show abstract

“…aeruginosa from the same patient in successive collections, which presented a similar susceptibility profile to the tested antimicrobials, as can be seen in tables 3 and 4. 3 Cindamycin, 4 Erythromycin, 5 Gentamicin, 6 Linezolide, 7 Penicillin, 8 Rifampicin, 9 Sulfamethoxazole + Trimetoprim, 10 Tetracycline 11 Susceptibility 12 Resistance, 13 Positive test. 3 Ceftazidime, 4 Ciprofloxacin, 5 Gentamicin, 6 Imipenem, 7 Piperacillintazobactam, 8 AmpC type β-lactamase, 9 Resistance, 10 Sensibility 11 Positive test.…”

Section: Serratia Marcescens 1mentioning

confidence: 99%

“…In addition, bacteria that are frequently found in tracheostomy tubes are biofilmforming, such as S. aureus, which is often associated with lower respiratory tract infections [3,7,8].…”

Section: Introductionmentioning

confidence: 99%

Resistance profile from staphylococcus aureus and pseudomonas aeruginosa obtained from tracheostomized children in the four seasons of the year

Almeida¹,

Barros²,

Ayres³

et al. 2022

Braz. J. Develop.

View full text Add to dashboard Cite

Objective: The objective of this study was to microbiologically characterize the tracheal secretion of tracheostomized children, evaluate biofilm formation and study the phenotypic and molecular profile of the antimicrobial resistance of Sthapylococcus aureus and Pseudomonas aeruginosa isolates. Methods: 88 samples of tracheal secretions were collected. The material was processed to perform phenotypic tests and bacterial identification. Tests were used to identify biofilms using Congo red agar test and microdilution in a 96-well plate, and the qPCR method was used to verify resistance. Results: Twelve Staphylococcus aureus samples and 30 Pseudomonas aeruginosa were isolated of pediactric tracheostomized patients. All the S. aureus samples were positive to biofilm formation in Congo red agar test. In the antibiogram test, S. aureus showed resistance to seven antimicrobials. Regarding the identification of resistance genes, blaZ was amplified in 57.1% and mecA in 28.6% of the isolated S. aureus. Pseudomonas aeruginosa showed blaOXA with 66,7% e blaKPC with 58,3%. In plasmid DNA, blaNDM stood out with 58,3% positive. Conclusions: The control of resistant bacteria involved in biofilms in the stoma of tracheostomized patients is a great challenge, since the simple cannula change does not always allow the control of the microbiota, which increases the vulnerability of patients to future respiratory complications.

show abstract

“…In pediatric patients with burns that early tracheostomy conferred a microbiological benefit to burned children. [ 48 ]…”

Section: Tracheostomy In Burnsmentioning

confidence: 99%

Tracheostomy in special groups of critically ill patients: Who, when, and where?

Longworth

Veitch

Gudibande

et al. 2016

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

Tracheostomy is one of the most common procedures undertaken in critically ill patients. It offers many theoretical advantages over translaryngeal intubation. Recent evidence in a heterogeneous group of critically ill patients, however, has not demonstrated a benefit for tracheostomy, in terms of mortality, length of stay in Intensive Care Unit (ICU), or incidence of ventilator-associated pneumonia. It may be a beneficial intervention in articular subsets of ICU patients. In this article, we will focus on the evidence for the timing of tracheostomy and its effect on various subgroups of patients in critical care.

show abstract

Effect of timing of tracheostomy on changes in bacterial colonisation of the lower respiratory tract in burned children

Cited by 12 publications

References 10 publications

Pediatric intensive care unit tracheostomy experiences in Ondokuz Mayıs University Faculty of Medicine

Pediatric intensive care unit tracheostomy experiences in Ondokuz Mayıs University Faculty of Medicine

Resistance profile from staphylococcus aureus and pseudomonas aeruginosa obtained from tracheostomized children in the four seasons of the year

Tracheostomy in special groups of critically ill patients: Who, when, and where?

Contact Info

Product

Resources

About