Individualized Prophylaxis in Patients with Esophageal Replacement Because of Cancer
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
26237191
DOI
10.1089/sur.2014.132
Knihovny.cz E-zdroje
- MeSH
- antibiotická profylaxe metody MeSH
- Bacteria klasifikace izolace a purifikace MeSH
- individualizovaná medicína metody MeSH
- infekce dýchací soustavy prevence a kontrola MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory jícnu chirurgie MeSH
- pooperační komplikace prevence a kontrola MeSH
- předoperační péče metody MeSH
- sputum mikrobiologie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: Presented are the findings from an analysis of respiratory inflammatory complications in patients undergoing esophageal replacement because of cancer. Respiratory complications are manifested most frequently within five post-operative days, thus, they are likely to be caused by potentially pathogenic micro-organisms originating from the primary or secondary microflora. METHODS: Sputum samples were collected 1-2 wks pre-operatively. In cases of positive microbiologic finding of some potential pathogens, individualized antibiotic prophylaxis was designed. RESULTS: Patients with individualized prophylaxis had fewer respiratory complications (10%) than patients with general antibiotic prophylaxis (41%). CONCLUSIONS: The approach to pre-operative sputum tests should be changed. If culture results are positive for bacteria with high resistance to antimicrobial agents or yeasts, the so-called individualized prophylaxis based on these particular results should be used.
Department of Surgery 1 University Hospital Olomouc Olomouc Czech Republic
Surgical Intensive Care Unit University Hospital Olomouc Olomouc Czech Republic
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