Physicians' and nurses' opinions on selective decontamination of the digestive tract and selective oropharyngeal decontamination: a survey.

Critical Care : the Official Journal of the Critical Care Forum
Irene P JongerdenMarc J M Bonten

Abstract

Use of selective decontamination of the digestive tract (SDD) and selective oropharyngeal decontamination (SOD) in intensive care patients has been controversial for years. Through regular questionnaires we determined expectations concerning SDD (effectiveness) and experience with SDD and SOD (workload and patient friendliness), as perceived by nurses and physicians. A survey was embedded in a group-randomized, controlled, cross-over multicenter study in the Netherlands in which, during three 6-month periods, SDD, SOD or standard care was used in random order. At the end of each study period, all nurses and physicians from participating intensive care units received study questionnaires. In all, 1024 (71%) of 1450 questionnaires were returned by nurses and 253 (82%) of 307 by physicians. Expectations that SDD improved patient outcome increased from 71% and 77% of respondents after the first two study periods to 82% at the end of the study (P = 0.004), with comparable trends among nurses and physicians. Nurses considered SDD to impose a higher workload (median 5.0, on a scale from 1 (low) to 10 (high)) than SOD (median 4.0) and standard care (median 2.0). Both SDD and SOD were considered less patient friendly than standard care ...Continue Reading

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Citations

May 18, 2013·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Stephan U DombrowskiUNKNOWN SuDDICU UK Study Group
Apr 27, 2012·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Kari JohnsonRoberta Johnson
Feb 9, 2011·Therapeutic Advances in Respiratory Disease·Diego J Maselli, Marcos I Restrepo

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BETA
sedation

Software Mentioned

SPSS
SPSS15

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