Effect of aerosolized colistin on multidrug-resistant Pseudomonas aeruginosa in bronchial secretions of patients without cystic fibrosis

作者: M. Horianopoulou , S. Lambropoulos , E. Papafragas , M.E. Falagas

DOI: 10.1179/JOC.2005.17.5.536

关键词: AerosolizationMicrobiologyRespiratory tractIntensive care unitCystic fibrosisColistinInhalationPolymyxinPseudomonas aeruginosaMedicine

摘要: We performed a limited microbiological study to examine the effect of aerosolized colistin (1 million international units every 8 hours) on colonization respiratory tract with Pseudomonas aeruginosa five intubated, mechanically ventilated patients in Intensive Care Unit (ICU). No adverse or side effects administered were reported. The microbial counts prior use colistin, as well during second, fourth, sixth, and eighth day after drug measured. results this preliminary suggest that was effective reducing quickly eliminating growth by sixth all studied patients.

参考文章(8)
R. A. Salata, J. J. Ellner, Bacterial colonization of the tracheobronchial tree. Clinics in Chest Medicine. ,vol. 9, pp. 623- 633 ,(1988)
David Lieberman, Devora Lieberman, Pseudomonal infections in patients with COPD: epidemiology and management. Treatments in Respiratory Medicine. ,vol. 2, pp. 459- 468 ,(2003) , 10.1007/BF03256673
A.J.H. Kerver, J.H. Rommes, E.A.E. Mevissen-Verhage, P.F. Hulstaert, A. Vos, J. Verhoef, P. Wittebol, Colonization and infection in surgical intensive care patients —a prospective study Intensive Care Medicine. ,vol. 13, pp. 347- 351 ,(1987) , 10.1007/BF00255792
Sanjay Sethi, Nancy Evans, Brydon J.B. Grant, Timothy F. Murphy, New strains of bacteria and exacerbations of chronic obstructive pulmonary disease. The New England Journal of Medicine. ,vol. 347, pp. 465- 471 ,(2002) , 10.1056/NEJMOA012561
H. Cabello, A. Torres, R. Celis, M. El-Ebiary, J. Puig de la Bellacasa, A. Xaubet, J. González, C. Agustí, N. Soler, Bacterial colonization of distal airways in healthy subjects and chronic lung disease: a bronchoscopic study European Respiratory Journal. ,vol. 10, pp. 1137- 1144 ,(1997) , 10.1183/09031936.97.10051137
M. E. Falagas, S. K. Kasiakou, L. D. Saravolatz, Colistin: The Revival of Polymyxins for the Management of Multidrug-Resistant Gram-Negative Bacterial Infections Clinical Infectious Diseases. ,vol. 40, pp. 1333- 1341 ,(2005) , 10.1086/429323
Argyris Michalopoulos, Sofia K Kasiakou, Matthew E Falagas, The significance of different formulations of aerosolized colistin. Critical Care. ,vol. 9, pp. 417- ,(2005) , 10.1186/CC3506
T. W. Feeley, G. C. du Moulin, J. Hedley-Whyte, L. S. Bushnell, J. P. Gilbert, D. S. Feingold, Aerosol Polymyxin and Pneumonia in Seriously Ill Patients New England Journal of Medicine. ,vol. 293, pp. 471- 475 ,(1975) , 10.1056/NEJM197509042931003