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Selective digestive decontamination in critically ill children: A survey of Canadian providers

Murthy, Srinivas; Pathan, Nazima; Cuthbertson, Brian H.

Journal of critical care. Volume 39 (2017); pp 169-171 -- Saunders -- [Elsevier]

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  • Title:
    Selective digestive decontamination in critically ill children: A survey of Canadian providers
  • Author: Murthy, Srinivas;
    Pathan, Nazima;
    Cuthbertson, Brian H.
  • Found In: Journal of critical care. Volume 39 (2017); pp 169-171
  • Journal Title: Journal of critical care
  • Subjects: Critical care medicine--Periodicals; Hospital acquired infections--Antibiotics--Antibiotic resistance; Dewey: 616.02805
  • Rights: Licensed
  • Publication Details: Saunders
    [Elsevier]
  • Abstract: Abstract Background Selective digestive decontamination of the digestive tract involves the routine administration of oral, gastric, and intravenous antibiotics to mechanically ventilated children to prevent hospital-acquired infections. It has a strong evidence base in adults, with limited pediatric evidence. Current utilization of this intervention among pediatric physicians in North America is unknown. Methods An electronic survey administered to pediatric critical care and pediatric infectious disease providers in Canada. Participants were surveyed on current institutional practices, their current knowledge of the evidence base, and perceptions of the risks and benefits of the intervention. Descriptive statistics were utilized. Results 50 out of 143 (35%) surveyed responded. No hospital in Canada routinely performs SDD and the majority of respondents (74%) have neutral opinions on the subject of SDD. There was concern for increasing antibiotic resistance (43%) and some disagreement with the intravenous component of SDD (46%). The majority of respondents stated a need for pediatric-specific evidence before integrating SDD into their practice, even if further, large adult RCTs were performed. Conclusion Among surveyed providers, there is little knowledge and no use of selective digestive decontamination for the prevention of hospital-acquired infections. Before interventional studies are performed in pediatric practice, there is a need for study of facilitators, barriers and acceptability of SDD in practice.
  • Identifier: System Number: ETOCvdc_100044118788.0x000001; Journal ISSN: 0883-9441; doi/10.1016/j.jcrc.2017.02.024
  • Publication Date: 2017
  • Physical Description: Electronic
  • Shelfmark(s): 4965.630000
  • UIN: ETOCvdc_100044118788.0x000001

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