Tulaimat A, Tulamait A, Laghi F, Mikrut K, Carey RB, Budinger GRS. Potassium sorbate reduces gastric colonization in patients receiving mechanical ventilation.
J Crit Care 2005;
20:281-7. [PMID:
16253799 DOI:
10.1016/j.jcrc.2005.03.002]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2004] [Revised: 01/19/2005] [Accepted: 03/22/2005] [Indexed: 01/15/2023]
Abstract
OBJECTIVES
Tube feeding might increase gastric burden of pathogenic bacteria and predispose patients to ventilator-associated pneumonia. We sought to determine whether a tube feeding formula acidified using potassium sorbate could reduce gastric burden of potentially pathogenic bacteria.
DESIGN
Prospective, randomized, double-blind trial.
SETTING
RML Specialty Hospital, a facility with expertise in weaning patients from prolonged mechanical ventilation.
PATIENTS
Thirty patients recovering from prolonged mechanical ventilation.
INTERVENTION
Patients were randomized to receive either a standard tube feeding formula (n=14) or a formula acidified using potassium sorbate to a pH of 4.25 (n=16).
MEASUREMENTS AND RESULTS
Weekly quantitative cultures of gastric aspirates. The number of colony-forming units (CFUs) per patient was higher in the control than in the treatment group (53%+/-11% vs 9%+/-3.4%, threshold of >or=100,000 CFU/mL fluid, P=.003). The number of organisms isolated in each patient per week was higher among patients receiving standard tube feeding formula than among patients receiving acidified formula (0.91 +/- 0.20 vs 0.13 +/- 0.05 organisms per patient per week, threshold of >or=100,000 CFU/mL fluid, P=.0014). There was no difference in the incidence of gastrointestinal bleeding or ventilator-associated pneumonia between study groups.
CONCLUSION
Tube feeding formula acidified using potassium sorbate was well tolerated and reduced gastric bacterial burden in patients recovering from prolonged mechanical ventilation.
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