Effect of various antibacterial preparations on the pathogenic oral flora in elderly patients fed via nasogastric tube

Antimicrob Agents Chemother. 2005 Aug;49(8):3566-8. doi: 10.1128/AAC.49.8.3566-3568.2005.

Abstract

Oropharyngeal colonization by pathogenic gram-negative bacilli (GNB) and Staphylococcus aureus is associated with aspiration pneumonia. Decolonization in high-risk populations may be important. We prospectively evaluated six antiseptic compounds in nasogastric tube-fed frail elderly patients; only polymixine reduced oropharyngeal colonization with GNB. None had an effect on S. aureus colonization.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage*
  • Colony Count, Microbial
  • Enteral Nutrition*
  • Female
  • Gram-Negative Bacteria / drug effects*
  • Gram-Negative Bacteria / growth & development
  • Gram-Negative Bacteria / pathogenicity
  • Gram-Negative Bacterial Infections / microbiology
  • Humans
  • Intubation, Gastrointestinal
  • Male
  • Middle Aged
  • Oropharynx / microbiology*
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / growth & development
  • Staphylococcus aureus / pathogenicity

Substances

  • Anti-Bacterial Agents