Intermittent enteral feeding: The influence on respiratory and digestive tract colonization in mechanically ventilated intensive-care-unit patients

American Journal of Respiratory and Critical Care Medicine

Volumn 154, Issue 2, 1996, Pages 394-399

  Bonten, Marc J M ^a   Gaillard, Carlo A ^b   Van Der Hulst, Rene ^b   De Leeuw, Peter W ^b   Van Der Geest, Siebe ^b   Stobberingh, Ellen E ^b   Soeters, Peter B ^b  

^a MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CLINICAL ARTICLE; DATA ANALYSIS; DISEASE ASSOCIATION; ENTERIC FEEDING; GRAM NEGATIVE INFECTION; HUMAN; INTENSIVE CARE UNIT; MORTALITY; PATIENT MONITORING; PRIORITY JOURNAL; STATISTICAL ANALYSIS; STOMACH PH;

EID: 0029781075     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.154.2.8756812     Document Type: Article

References (17)

1. Emori, T. G., and R. P. Gaynes. 1993. An overview of nosocomial infections, including the role of the microbiology laboratory. Clin. Microbiol. Rev. 6:428-442.
2. Heyland, D., and L. A. Mandell. 1992. Gastric colonization by gram-negative bacilli and nosocomial pneumonia in the intensive care unit patient: evidence for causation. Chest 101:187-193.
3. Mehla, S., J. F. Archer, and J. Mills. 1986. pH-dependent bactericidal barrier to gram-negative aerobes: its relevance to airway colonization and prophylaxis of acid aspiration and stress ulcer syndromes - study in vitro. Intensive Care Med. 12:134-136.
4. Pingleton, S. K., D. R. Hinthorn, and C. Liu. 1986. Enteral nutrition in patients receiving mechanical ventilation. Am. J. Med. 80:827-832.
5. Lee, B., R. W. S. Chang, and S. Jacobs. 1990. Intermittent nasogastric feeding: a simple and effective method to reduce pneumonia among ventilated ICU patients. Clin. Intensive Care 1:100-102.
6. Knaus, W. A., E. A. Draper, D. P. Wagner, and J. E. Zimmerman. 1985. APACHE II: a severity of disease classification system. Crit. Care Med. 13:818-829.
7. Bonten, M. J. M., C. A. Gaillard, S. van der Geest, T. van Tiel, A. J. Beysens, H. G. W. Smeets, and E. Stobberingh. 1995. The role of intragastric acidity and stress ulcer prophylaxis on colonization and infection in mechanically ventilated patients. Am. J. Respir. Crit. Care Med. 152:1825-1834.
8. Bonten, M. J. M., C. A. Gaillard, F. H. van Tiel, H. G. W. Smeets, S. van der Geest, and E. E. Stobberingh. 1994. The stomach is not a source of colonization of the upper respiratory tract and pneumonia in ICU patients. Chest 105:878-884.
9. Rigaud, D., J. Chastre, J. P. Accary, S. Bonfils, C. Gibert, and A. J. Hance. 1986. Intragastric pH profile during acute respiratory failure in patients with chronic obstructive pulmonary disease: effect of ranitidine and enteral feeding. Chest 90:58-63.
10. Bonten, M. J. M., C. A. Gaillard, R. W. Stockbrugger, F. H. van Tiel, S. van der Geest, and E. E. Stobberingh. 1996. Assessment of gastric acidity in intensive care patients: intermittent pH registration can not replace continuous pH monitoring. Intensive Care Med. (In press)
11. Jacobs, S., R. W. S. Chang, B. Lef, and F. W. Bartlett. 1990. Continuous enteral feeding: a major cause of pneumonia among ventilated intensive care unit patients. J. Parenter. Enteral Nutr. 14:353-356.
12. Caballero, G. A., R. K. Ausman, E. J. Quebbeman, W. J. Schulte, and L. Lin. 1990. Gastric secretion pH measurement: what you see is not what you get. Crit. Care Med. 18:396-399.
13. Dobkin, E. D., A. Valcour, C. Roher McCloskey, L. Allen, J. C. Kambe, E. Gleason, R. Orlando, III, R. Berger, and N. S. Veston. 1990. Does pH paper accurately reflect gastric pH? Crit. Care Med. 18:985-988.
14. Fimmel, C. J., A. Etienne, and A. Cilufo. 1985. Long-term ambulatory gastric pH monitoring: validation of a new method and effect of H2-antagonists. Gastroenterology 88:1842-1851.
15. Bonten, M. J. M., C. A. Gaillard, F. H. van Tiel, S. van der Geest, and E. E. Stobberingh. 1994. Continuous enteral feeding counteracts preventive measures for gastric colonization in intensive care unit patients. Crit. Care Med. 22:939-944.
16. Spilker, C. A., D. R. Hinthorn, and S. K. Pingleton. 1993. Intermittent enteral feeding and gastric colonization in critically ill patients (abstract). Am. Rev. Respir. Dis. 147:A200.
17. Torres, A., J. Serra-Batlles, E. Ros, C. Piera, J. Puig de la Bellacasa, A. Cobos, T. Lomeña, and R. Rodriguez-Roisin. 1992. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann. Intern. Med. 116:540-543.