Risk factors associated with microbial colonisation and infection of tracheostomy tubes
Copyright © 2020 Elsevier Inc. All rights reserved..
BACKGROUND: A long-term tracheostomy tube has the potential to cause significant morbidity and mortality in both hospitalised patients and those in the community. This study aims to assess the rates of microbial colonisation and infection of tracheostomy tubes.
MATERIALS AND METHODS: Consecutive patients were enrolled from both inpatient and outpatient settings during their routine tracheostomy changes. During changes, culture swabs were taken from the cuff/outer-cannula and inner-cannula. Analysis were performed to compare culture results with risk factors.
RESULTS: 65 patients were enrolled in the study. Inpatients (65.9% vs 38.1%, χ2 4.48, p = 0.03), increasing acuity of care (from outpatient; ward; HDU; and ICU in increasing acuity) (τb = 0.289, p = 0.012), cuffed tracheostomy tubes, (66.7% vs 39.1%; χ2 4.59, p = 0.032); diabetics (64.6% vs 35.3%; χ2 4.39, p = 0.036); and males were associated with increased colonisation (72.4% vs 44.4%; χ2 5.12, p = 0.024).
CONCLUSION: Factors associated with an increase in colonisation and infection of tracheostomy tubes were location, and in males, diabetics and in cuffed tubes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
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| Enthalten in: |
American journal of otolaryngology - 41(2020), 4 vom: 15. Juli, Seite 102495 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kumarasinghe, Dulitha [VerfasserIn] |
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| Links: |
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| Themen: |
Colonisation |
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| Anmerkungen: |
Date Completed 26.08.2020 Date Revised 26.08.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.amjoto.2020.102495 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM309190304 |
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| 500 | |a Date Revised 26.08.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: A long-term tracheostomy tube has the potential to cause significant morbidity and mortality in both hospitalised patients and those in the community. This study aims to assess the rates of microbial colonisation and infection of tracheostomy tubes | ||
| 520 | |a MATERIALS AND METHODS: Consecutive patients were enrolled from both inpatient and outpatient settings during their routine tracheostomy changes. During changes, culture swabs were taken from the cuff/outer-cannula and inner-cannula. Analysis were performed to compare culture results with risk factors | ||
| 520 | |a RESULTS: 65 patients were enrolled in the study. Inpatients (65.9% vs 38.1%, χ2 4.48, p = 0.03), increasing acuity of care (from outpatient; ward; HDU; and ICU in increasing acuity) (τb = 0.289, p = 0.012), cuffed tracheostomy tubes, (66.7% vs 39.1%; χ2 4.59, p = 0.032); diabetics (64.6% vs 35.3%; χ2 4.39, p = 0.036); and males were associated with increased colonisation (72.4% vs 44.4%; χ2 5.12, p = 0.024) | ||
| 520 | |a CONCLUSION: Factors associated with an increase in colonisation and infection of tracheostomy tubes were location, and in males, diabetics and in cuffed tubes | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Colonisation | |
| 650 | 4 | |a Diabetes | |
| 650 | 4 | |a Infection | |
| 650 | 4 | |a Smoking | |
| 650 | 4 | |a Tracheostomy | |
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| 700 | 1 | |a Duvnjak, Marin |e verfasserin |4 aut | |
| 700 | 1 | |a Sritharan, Niranjan |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Mark C |e verfasserin |4 aut | |
| 700 | 1 | |a Palme, Carsten |e verfasserin |4 aut | |
| 700 | 1 | |a Riffat, Faruque |e verfasserin |4 aut | |
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