Effects of subglottic secretion drainage on pulmonary infection in severe craniocerebral injury
- VernacularTitle:气囊上滞留物引流对重型颅脑损伤后肺部感染防治的影响
- Author:
Qiyou SHEN
;
Yunan HUANG
;
Decheng HUANG
;
Suping HUANG
- Publication Type:Journal Article
- Keywords:
Severe brain injury;
Subglottic secretion;
Pulmonary infection
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(17):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical value of subglottic secretion drainage on pulmonary infection in severe craniocerebral injuried patients. Methods Eighty severe craniocerebral injuried patients in ICU with the requirement of tracheotomy were randomized into two groups. Forty patients received aspiration of subglottic secretions as the treatment group and the other 40 patients received usual care as control. Samples were taken from pharynx mop, subglottic secretion and lower respiratory tract secretion for bacterial culture at 48 hours, 7th day and 14th day past tracheotomy. Results The incidence of pulmonary infection was 22.5% in treatment group and 45.0% in control. The same rate of predominant flora in subglottic secretion and lower respiratory tract secretion was 63.0% in patients with pulmonary infection. Conclusions Transposition of the pathologic bacteria in the subglottic secretion is one of the important causes of pulmonary infection, subglottic secretion drainage can lower the incidence of pulmonary infection in severe craniocerebral injuried patients.
