Short-term impact of the European consensus conference on the use of selective decontamination of the digestive tract with antibiotics in ICU patients.
Because it remained controversial, the use of selective digestive decontamination (SDD) in patients in the intensive care unit (ICU) was chosen as the topic of the first European Consensus Conference in Intensive Care Medicine (ECCICM) in December, 1991.
The Consensus Bureau decided to assess the impact of this conference 2 years afterwards.
For this purpose, a questionnaire was sent to the members of the European Society of Intensive Care Medicine, the Societé de Reanimation de Langue Française and the Societé Française d'Anesthesie et Reanimation before the conference.
The recommendations following the conference discouraged the systematic use of SDD in ventilated patients and urged the monitoring of bacterial resistance and adapting antibiotics to epidemiology of the units.
Two years after the conference, the same questionnaire was sent to those physicians who had responded to the first one.
Eighteen percent used SDD for all ventilated patients and 17% remain users after 2 years.
Among the occasional (32%) or continual (17%) users of SDD, the regimens used were mostly intravenous cefotaxime (60% of systemic antibiotics) and a topical combination of polymixin E, tobramycin, and amphotericin B (62% of overall topical combinations).
The antibiotics used were unchanged after 2 years in almost all cases.
In conclusion, the short-term impact of the Consensus Conference on SDD in ICU patients has been poor. (...)
Mots-clés Pascal : Antibiotique, Tube digestif, Unité soin intensif, Europe, Traitement, Chimiothérapie, Résultat, Homme, Congrès, Evaluation, Recommandation, Antiinfectieux, Soin intensif, Appareil digestif
Mots-clés Pascal anglais : Antibiotic, Digestive tract, Intensive care unit, Europe, Treatment, Chemotherapy, Result, Human, Congress, Evaluation, Recommendation, Antiinfectious, Intensive care, Digestive system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0471499
Code Inist : 002B02S07. Création : 10/04/1997.