Lihlahisoa

Phello ea li-endotracheal tubes (ETTs) tse kenngoeng ka chlorhexidine (CHX) le silver carbonate (antiseptic ETTs) khahlanong le Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Pseudomonas aeruginosa, Acinetobacter baumanniter, le Engenesgenesbacter baumanniter e amanang le Enterosgeneis pneumonia e amanang le eona (VAP)], e ile ea hlahlojoa ka mokhoa oa laboratori ea tsela ea moea.Li-antiseptic ETTs le li-ETT tsa taolo (tse sa ntšoang) li ile tsa kenngoa ka har'a li-tubes tsa setso tse tletseng halofo ea agar media (mohlala oa tsela ea moea) e neng e silafalitsoe pele ka 10(8) cfu/mL ea setho se khethiloeng sa tlhahlobo.Kamora matsatsi a mahlano a ho incubation, lipalo tsa kolone ea baktheria likarolong tsohle tsa ETT li ile tsa khethoa.Li-swabs tsa lipheletsong tsa proximal le distal tsa pampitšana ea agar ka mekhoa ea ho thibela likokoana-hloko le ea ho laola li ne li sa tloaeleha.Maemo a pele le a setseng a CHX, (matsatsi a mahlano ka mor'a ho kenngoa mofuteng) a ile a khethoa.Meetlo ea li-antiseptic ETTs e senotse bokolone ka likokoana-hloko tse lekiloeng ho tloha ho 1-100 cfu / tube, ha li bapisoa le hoo e ka bang 10 (6) cfu / tube bakeng sa ETTs ea taolo (P <0.001).Li-subcultures tse tsoang lipheletsong tse haufi le tse ka thōko tsa pampitšana ea agar li bontšitse khōlo e fokolang kapa e se nang letho ho li-ETT tsa likokoana-hloko ha li bapisoa le li-ETT tsa taolo (P <0.001).Palo ea CHX e bolokiloeng ho ETTs ea likokoana-hloko ka mor'a matsatsi a mahlano a ho kenngoa e ne e le karolelano ea 45% ea boemo ba pele.Antiseptic ETTs e ile ea thibela bokolone ba baktheria mokhoeng oa tsela ea moea hape ea boloka palo e kholo ea sebolaya-mafu.Liphetho tsena li bontša hore katleho ea li-ETT tse kenngoeng ka li-antiseptic ho thibela kholo ea likokoana-hloko tse amanang le VAP li ka fapana ho ea ka lintho tse phelang tse fapaneng.Copyright 2004 The Hospital Infection Society.