Intermittent enteral feeding in mechanically ventilated patients: The effect on gastric pH and gastric cultures

Chest

Volumn 110, Issue 1, 1996, Pages 243-248

  Spilker, Cynthia A ^a   Hinthorn, Daniel R ^a   Pingleton, Susan K ^a  

^a UNIVERSITY OF KANSAS SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BACTERIAL PNEUMONIA; BACTERIUM CULTURE; CASE CONTROL STUDY; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ENTERIC FEEDING; FEMALE; GRAM NEGATIVE BACTERIUM; HOSPITAL INFECTION; HUMAN; MALE; MICROBIAL GROWTH; PRIORITY JOURNAL; STOMACH PH;

EID: 0029936285     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.110.1.243     Document Type: Article

References (23)

1. Seidenfeld JJ, Pohl DF, Bell RD, et al. Incidence, site, and outcome of infections in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 1986; 134:12-6
2. Craven D, Kunches LM, Killinsky V, et al. Risk factors for pneumonia and fatality in patients receiving mechanical ventilation. Am Rev Respir Dis 1986; 133:792-96
3. Atherton S, White D. Stomach as a source of bacteria colonizing respiratory tract during artificial respiration. Lancet 1978; 2: 968-69
4. Reusser P, Zimmerli W, Scheidegger D, et al. Role of gastric colonization in nosocomial infections and endotoxemia: a prospective study in neurosurgical patients on mechanical ventilation. J Infect Dis 1989; 160:414-21
5. Pingleton S, Hinthorn D, Liu C. Enteral nutrition in mechanical ventilation: multiple sources of tracheal colonization include the stomach. Am J Med 1986; 80:827-32
6. Driks M, Craven D, Celli B, et al. Nosocomial pneuinonia in intubated patients given sucralfate as compared with antacids or histamine type 2 blockers: the role of gastric colonization. N Engl J Med 1987; 80:1376-82
7. Torres A, Serra-Battles J. Ros E, et al. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann Intern Med 1992; 116:540-43
8. Torres A, El-Kbiary M, Gonzalez J, et al. Gastric and pharyngeal flora in nosocomial pneumonia acquired during mechanical ventilation. Am Rev Respir Dis 1993; 148:352-57
9. Palmer LB, Donelan SV, Fox G, et al. Gastric flora in chronically mechanically ventilated patients: relationship to upper and lower airway colonization. Am J Respir Crit Care Med 1995; 151:1063-67
10. Bonten MJM. Gaillard CA, Van der Geest, S, et al. The role of intragastric acidity and stress ulcer prophylaxis on colonization and infection in mechanically ventilated IGU patients. Am J Respir Grit Care Med 1995; 152:1825-34
11. Drasar B, Shiner M, McLeod G. Studies on the intestinal flora. Gastroenterology 1969; 56:71-9
12. Gray J, Shiner M. Influence of gastric pII on gastric and jejunal flora. Gut 1967; 8:574-81
13. Hillman K, Biordan T, O'Farrell S, et al. Colonization of the gastric contents in critically ill patients. Crit Care Med 1982; 10:444-47
14. Jacobs S, Chang R, Lee B, et al. Continuous enteral feeding: a major cause of pneumonia among ventilated intensive care unit patients. JPEN J Parenter Enteral Nutr 1990; 14:35.3-56
15. Lee C, Jacobs S. Intermittent nasogastric feeding: a simple and effective method to reduce pneumonia among ventilated ICU patients. Clin Intensive Care 1990; 1:100-02
16. Kocan M, Hickisch S. A comparison of continuous and intermittent enteral nutrition in IGU patients. J Neurosci Nurs 1986; 18:333-37
17. Ciocon J, Galindo-Ciocon D, Tiessen C, et al. Continuous compared with interinittent tube feeding in the elderly. JPEN J Parenter Enteral Nutr 1992; 16:525-28
18. Podell S. Interinittent tube feedings and gastroesophageal reflux control in head-injured patients. J Am Diet Assoc 1989; 89:102-03
19. Heyland D, Bradley C, Mandell L. Effect of acidified enteral feedings in the critically ill patient. Crit Care Med 1992; 20: 1388-94
20. Valles J, Artigas A, Rello J, et al. Continuous aspiration of subglottic secretions in preventing ventilator-ossociated pneumonia. Ann Intern Med 1995; 122:179-86
21. Gastinne H, Wolff M, Delatour F, et al. A controlled trial in intensive care units of selective decontamination of the digestive tract with nonabsorbable antibiotics. N Engl J Med 1992; 326:594-99
22. Tyba M. More on gastric colonization, H-2 antagonists or antacids. Intensive Care Med 1990; 16:346-47
23. Coben RM, Weintraub A, Marin AJ, et al. Gastroesophageal reflux during gostrostomy feeding. Gastroenterology 1994; 106: 13-8