[Selective decontamination in the ICU: benefit of the doubt].

Ned Tijdschr Geneeskd · Jan 2009

[Selective decontamination in the ICU: benefit of the doubt].

Since its introduction in 1984, selective decontamination of the digestive tract has had clear supporters and opponents. De Smet et al. conducted a large national study in 13 Dutch intensive care units, investigating the effects of the following 3 regimens on mortality: standard treatment, selective decontamination of the digestive tract and selective oropharyngeal decontamination. The results showed decontamination to have a clear benefit in terms of reducing mortality. Based on these results, decontamination should be used in all intensive care patients.

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- Dennis C J J Bergmans and Jan Harm Zwaveling.
- Maastricht Universitair Medisch Centrum, afd. Intensive Care, Maastricht, The Netherlands.
- Ned Tijdschr Geneeskd. 2009 Jan 1; 153: A488.
AbstractSince its introduction in 1984, selective decontamination of the digestive tract has had clear supporters and opponents. De Smet et al. conducted a large national study in 13 Dutch intensive care units, investigating the effects of the following 3 regimens on mortality: standard treatment, selective decontamination of the digestive tract and selective oropharyngeal decontamination. The results showed decontamination to have a clear benefit in terms of reducing mortality. Based on these results, decontamination should be used in all intensive care patients.

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[Selective decontamination in the ICU: benefit of the doubt].

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