Biofilm accumulation on endotracheal tubes following prolonged intubation

To demonstrate that patients who have been intubated for prolonged periods of time will have an increased likelihood of developing bacterial biofilm on their endotracheal tubes. We collected endotracheal tubes from patients at the time of extubation, and analysed representative sections with scannin...

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Veröffentlicht in:Journal of laryngology and otology 2012-03, Vol.126 (3), p.267-270
Hauptverfasser: Lee, J M, Hashmi, N, Bloom, J D, Tamashiro, E, Doghramji, L, Sarani, B, Palmer, J N, Cohen, N A, Mirza, N
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container_end_page 270
container_issue 3
container_start_page 267
container_title Journal of laryngology and otology
container_volume 126
creator Lee, J M
Hashmi, N
Bloom, J D
Tamashiro, E
Doghramji, L
Sarani, B
Palmer, J N
Cohen, N A
Mirza, N
description To demonstrate that patients who have been intubated for prolonged periods of time will have an increased likelihood of developing bacterial biofilm on their endotracheal tubes. We collected endotracheal tubes from patients at the time of extubation, and analysed representative sections with scanning electron microscopy for morphologic evidence of biofilms. From September 2007 to September 2008, 32 endotracheal tubes were analysed with electron microscopy. Patients who had been intubated for 6 days or longer had a significantly higher percentage of endotracheal tubes that exhibited bacterial biofilms, compared with patients intubated for less than 6 days (88.9 versus 57.1 per cent, p = 0.0439). Longer duration of intubation is associated with a higher incidence of bacterial biofilm. Further research is needed to link the presence of bacterial biofilms to acquired laryngotracheal damage.
doi_str_mv 10.1017/S0022215111002969
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We collected endotracheal tubes from patients at the time of extubation, and analysed representative sections with scanning electron microscopy for morphologic evidence of biofilms. From September 2007 to September 2008, 32 endotracheal tubes were analysed with electron microscopy. Patients who had been intubated for 6 days or longer had a significantly higher percentage of endotracheal tubes that exhibited bacterial biofilms, compared with patients intubated for less than 6 days (88.9 versus 57.1 per cent, p = 0.0439). Longer duration of intubation is associated with a higher incidence of bacterial biofilm. 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Stomatology ; Pneumonia ; Pseudomonas - isolation &amp; purification ; Pseudomonas - physiology ; Staphylococcus aureus - isolation &amp; purification ; Staphylococcus aureus - physiology ; Staphylococcus infections ; Time Factors ; Trachea - microbiology ; Tracheal Stenosis - etiology ; Tracheal Stenosis - microbiology ; Tracheotomy ; Trauma ; Ventilators</subject><ispartof>Journal of laryngology and otology, 2012-03, Vol.126 (3), p.267-270</ispartof><rights>Copyright © JLO (1984) Limited 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-6618f7d077f3211aed0093d6ecf8080a307ba049a40856cb9d765c394f8b37103</citedby><cites>FETCH-LOGICAL-c401t-6618f7d077f3211aed0093d6ecf8080a307ba049a40856cb9d765c394f8b37103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215111002969/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25887550$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22051053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, J M</creatorcontrib><creatorcontrib>Hashmi, N</creatorcontrib><creatorcontrib>Bloom, J D</creatorcontrib><creatorcontrib>Tamashiro, E</creatorcontrib><creatorcontrib>Doghramji, L</creatorcontrib><creatorcontrib>Sarani, B</creatorcontrib><creatorcontrib>Palmer, J N</creatorcontrib><creatorcontrib>Cohen, N A</creatorcontrib><creatorcontrib>Mirza, N</creatorcontrib><title>Biofilm accumulation on endotracheal tubes following prolonged intubation</title><title>Journal of laryngology and otology</title><addtitle>J Laryngol Otol</addtitle><description>To demonstrate that patients who have been intubated for prolonged periods of time will have an increased likelihood of developing bacterial biofilm on their endotracheal tubes. 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We collected endotracheal tubes from patients at the time of extubation, and analysed representative sections with scanning electron microscopy for morphologic evidence of biofilms. From September 2007 to September 2008, 32 endotracheal tubes were analysed with electron microscopy. Patients who had been intubated for 6 days or longer had a significantly higher percentage of endotracheal tubes that exhibited bacterial biofilms, compared with patients intubated for less than 6 days (88.9 versus 57.1 per cent, p = 0.0439). Longer duration of intubation is associated with a higher incidence of bacterial biofilm. Further research is needed to link the presence of bacterial biofilms to acquired laryngotracheal damage.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>22051053</pmid><doi>10.1017/S0022215111002969</doi><tpages>4</tpages></addata></record>
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subjects Bacteria
Biofilms
Biological and medical sciences
Equipment Contamination
Extracellular matrix
Extubation
Humans
Intubation
Intubation, Intratracheal - adverse effects
Intubation, Intratracheal - instrumentation
Laryngeal Mucosa - microbiology
Laryngeal Mucosa - pathology
Laryngostenosis - etiology
Laryngostenosis - microbiology
Medical sciences
Microscopy, Electron, Scanning
Morphology
Ostomy
Otorhinolaryngology. Stomatology
Pneumonia
Pseudomonas - isolation & purification
Pseudomonas - physiology
Staphylococcus aureus - isolation & purification
Staphylococcus aureus - physiology
Staphylococcus infections
Time Factors
Trachea - microbiology
Tracheal Stenosis - etiology
Tracheal Stenosis - microbiology
Tracheotomy
Trauma
Ventilators
title Biofilm accumulation on endotracheal tubes following prolonged intubation
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