Kuo PC, Bartlett ST, Lim JW, Plotkin JS, Wilson S, Johnson LB. Selective bowel decontamination in hospitalized patients awaiting liver transplantation.
Am J Surg 1997;
174:745-8; discussion 749. [PMID:
9409610 DOI:
10.1016/s0002-9610(97)00185-2]
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Abstract
BACKGROUND
Infection remains a major contributor to morbidity and mortality following orthotopic liver transplantation (OLT). Selective bowel decontamination (SBD) in hospitalized patients is one strategy for prophylaxis.
METHODS
A retrospective case-control study was performed using 18 consecutive hospitalized patients receiving SBD prior to OLT during the period September 1995 to September 1996. Eighteen consecutive hospitalized patients without SBD transplanted during the period March 1995 to September 1995 served as a historical control group.
RESULTS
Selective bowel decontamination was associated with a significantly decreased prevalence of positive cultures for gram-negative bacteria and fungi and reduced overall hospital charges.
CONCLUSION
In hospitalized patients awaiting OLT, SBD is an effective prophylactic measure against infectious morbidity associated with gram-negative bacteria and fungi.
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