caa a22 4500 475832329 CHVBK 20180406123843.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s100960050470 doi (NATIONALLICENCE)springer-10.1007/s100960050470 Bacterial Resistance and Overgrowth due to Selective Decontamination of the Digestive Tract [Elektronische Daten] [W. Ebner, A. Kropec-Hübner, F. D. Daschner]  Infection of the lower airways is a major problem in ventilated patients and contributes substantially to morbidity and mortality in the intensive care unit. The selective decontamination of the digestive tract and its effect on the reduction of the gram-negative colonisation rate in patients has been studied widely. However, the findings are inconsistent. Most studies describe an increase in resistant gram-negative bacterial strains and/or an increase in the occurrence of gram-positive strains following selective decontamination of the digestive tract. In light of the unresolved questions concerning the efficacy of selective decontamination of the digestive tract, it would seem that the resultant effect of this treatment on the bacterial flora should be an important consideration when assessing the value of such treatment. To date, none of the studies available for examination have been designed to adequately assess the effect of selective decontamination of the digestive tract on the bacterial flora. Springer-Verlag Berlin Heidelberg, 2000 Ebner W. Institute of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany e-mail: webner@iuk3.ukl.uni-freiburg.de, DE aut Kropec-Hübner A. Institute of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany e-mail: webner@iuk3.ukl.uni-freiburg.de, DE aut Daschner F. D. Institute of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany e-mail: webner@iuk3.ukl.uni-freiburg.de, DE aut https://doi.org/10.1007/s100960050470 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s100960050470 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ebner W. Institute of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany e-mail: webner@iuk3.ukl.uni-freiburg.de, DE aut NATIONALLICENCE 700 1- Kropec-Hübner A. Institute of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany e-mail: webner@iuk3.ukl.uni-freiburg.de, DE aut NATIONALLICENCE 700 1- Daschner F. D. Institute of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany e-mail: webner@iuk3.ukl.uni-freiburg.de, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer