Journal article

UNCERTAIN RELEVANCE OF GASTRIC COLONIZATION IN THE SERIOUSLY ILL

JF CADE, E MCOWAT, R SIGANPORIA, C KEIGHLEY, J PRESNEILL, V SINICKAS

INTENSIVE CARE MEDICINE | SPRINGER VERLAG | Published : 1992

Abstract

We have studied the temporal relationship for the same micro-organisms between gastric colonization and both nasopharyngeal colonization and major clinical infections in 100 consecutive, long-stay, intensive care patients. 67% of patients developed positive gastric cultures, mainly with aerobic Gram-negative bacilli and C. albicans; 33% developed positive nasopharyngeal cultures with similar organisms, but in only 8% was the same organism previously cultured from the stomach; 48% of patients developed infections, mainly respiratory, but commonly with different organisms. The presence of a positive gastric culture was not associated with gastric pH, bleeding, severity of illness, or mortality..

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University of Melbourne Researchers