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Could saline instillation displace bacteria from the endotracheal tube biofilm to lower airways during suctioning procedure?

The bacteria observed were: five Gram-positive (Staphylococcus aureus in three, Streptococcus pneumoniae in one and Staphylococcus haemolytics in one) and three Gram-negative (Acinetobacter baumani, Klebsiella pneumoniae, Enterobacter cloacae). Conclusion The use of saline during an endotracheal suc...

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Bibliographic Details
Published in:Critical care (London, England) England), 2015-01, Vol.19 (S2), p.P43-P43, Article P43
Main Authors: CR Franchi, Anália Cristina, Filho, Antônio Pazin, Bottura, Camila, Miranda, Carlos Henrique, Ferreira, Fernanda B, de C Borges, Marcos, de C Santana, Rodrigo, Okino, Valéria T
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Language:English
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Summary:The bacteria observed were: five Gram-positive (Staphylococcus aureus in three, Streptococcus pneumoniae in one and Staphylococcus haemolytics in one) and three Gram-negative (Acinetobacter baumani, Klebsiella pneumoniae, Enterobacter cloacae). Conclusion The use of saline during an endotracheal suctioning procedure can dislocate pathogenic bacteria from the endotracheal tube biofilm to the lower airways, and could increase the risk of VAP.
ISSN:1364-8535
1364-8535
1366-609X
1466-609X
DOI:10.1186/cc14689