STOMACH AS SOURCE OF BACTERIA COLONISING RESPIRATORY TRACT DURING ARTIFICIAL VENTILATION

STOMACH AS SOURCE OF BACTERIA COLONISING RESPIRATORY TRACT DURING ARTIFICIAL VENTILATION

10 adults had intermittent positive-pressure ventilation for 3-34 days. All 10 had paralytic ileus. Microbial overgrowth in the stomach was found in 9 patients (bacterial in 7 and fungal in 2); gram-negative bacteria predominated. The trachea invariably became colonised by bacteria, mainly gram-nega...

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Veröffentlicht in:The Lancet (British edition) 1978-11, Vol.312 (8097), p.968-969
Hauptverfasser: Atherton, S.T., White, D.J.
Format: Artikel
Sprache:eng
Schlagworte:
Adults
Bacteria
Gram-negative bacteria
Mechanical ventilation
Microorganisms
Respiratory tract
Stomach
Trachea
Ventilation
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Zusammenfassung:10 adults had intermittent positive-pressure ventilation for 3-34 days. All 10 had paralytic ileus. Microbial overgrowth in the stomach was found in 9 patients (bacterial in 7 and fungal in 2); gram-negative bacteria predominated. The trachea invariably became colonised by bacteria, mainly gram-negative organisms. In 3 instances the gram-negative bacteria were found in the stomach before they appeared in the tracheal aspirate, and in 1 case the pathogen originated in the fæces.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(78)92530-8