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Journal of Antimicrobial Chemotherapy (2002) 49, 205-208
© 2002 The British Society for Antimicrobial Chemotherapy

Brief report

Short-term effect of the application of selective decontamination of the digestive tract on different body site reservoir ICU patients colonized by multi-resistant Acinetobacter baumannii

C. Agustía, M. Pujola, M. J. Argerichb, J. Ayatsc, M. Badíad, M. A. Domínguezc, X. Corbellaa and J. Arizaa,*

a Infectious Disease Service, b Infection Control Nurse, c Microbiological Service and d Pharmacy Department, Hospital de Bellvitge, C/Feixa Larga s/n, 08907 L’Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain

The effect of a selective decontamination of the digestive tract (SDD) regimen including polymyxin and tobramycin on several body site reservoirs was compared between a test group and a control group in intensive care unit (ICU) patients with faecal multi-resistant Acinetobacter baumannii colonization. SDD significantly reduced faecal and pharyngeal carriage when compared with the control group at the end of ICU stay (48% versus 91%, P = 0.001, and 38.5% versus 78%, P = 0.01, respectively), but failed to reduce axillary colonization (75% versus 78%, P = 0.6). In addition, the isolation of A. baumannii from new clinical samples was lower in patients with SDD (45.5% versus 81%, P = 0.05). No resistance to polymyxin was observed. We conclude that the digestive tract reservoir of A. baumannii in ICU patients may be decreased by a SDD regimen.

* Corresponding author. Tel: +34-93-2607625; Fax: +34-93-2607637; E-mail: jariza{at}csub.scs.es


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