Document Detail


Is retention of a nasogastric tube after esophagectomy a risk factor for postoperative respiratory tract infection?
MedLine Citation:
PMID:  17458679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1990 and 2004, 149 patients underwent esophagectomy with thoracotomy at our institution. Because the retention of a nasogastric tube postoperatively impedes expectoration, this practice was abolished in 1997, in order to reduce the risk of respiratory tract infection (RTI). Since 1998, we have instead performed gastrostomy for decompression. In this retrospective study, we compared the incidence of postoperative respiratory tract infection between these two groups. We previously demonstrated that the concordance between bacteria detected in the gastric juices and those detected in sputum was more than 70% in patients with postoperative RTI. In the present study, the incidence of postoperative respiratory tract infection was significantly higher in patients in whom a nasogastric tube was retained when compared to the rate in those for whom gastrostomy was performed instead (41.5% [34/82] vs 26.9% [18/67]; P = 0.045). The rate of other infections did not differ significantly between the two groups. We conclude that, in the postoperative management of esophagectomy, the retention of a nasogastric tube impedes expectoration. In addition, nasogastric tubes appear to increase the risk of postoperative RTI, considering the previous finding that the concordance of bacteria in sputum and gastric secretion was over 70%.
Authors:
Takeshi Sato; Tadatoshi Takayama; Keio So; Isao Murayama
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2007-05-08
Journal Detail:
Title:  Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy     Volume:  13     ISSN:  1341-321X     ISO Abbreviation:  J. Infect. Chemother.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-26     Completed Date:  2007-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9608375     Medline TA:  J Infect Chemother     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  109-13     Citation Subset:  IM    
Affiliation:
Department of Digestive Surgery, Nihon University School of Medicine, 30-1 Oyaguchi kamimachi, Itabashi-ku, Tokyo 101-8309, Japan. takesato@med.nihon-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cross Infection / etiology*,  prevention & control
Esophagectomy / adverse effects*
Female
Gastric Juice / microbiology
Gastrostomy / utilization
Humans
Intubation, Gastrointestinal / adverse effects*
Male
Middle Aged
Respiratory Tract Infections / etiology*,  microbiology
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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