Oloa

Le aʻafiaga o faʻauʻu endotracheal (ETTs) faʻamaʻiina i le chlorhexidine (CHX) ma le carbonate siliva (antiseptic ETTs) faasaga i Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Pseudomonas aeruginosa, Acinetobacter baumannii, ma Enterobacter aerogenes e fesoʻotaʻi ma ventilators [ O le niumonia fesootai (VAP)], sa iloiloina i se fa'ata'ita'iga o le ea su'esu'e.Antiseptic ETTs ma control ETTs (unimpregnated) na fa'aofiina i totonu o fa'agaau fa'aleaganu'u fa'atumu afa i ala fa'asalalau (fa'ata'ita'iga o le ea) na fa'aleagaina muamua i luga ma le 10(8) cfu/mL o le meaola su'esu'e filifilia.A maeʻa aso e lima o faʻamaʻi, na faʻamauina le aofaʻi o kolone siama i vaega uma o le ETT.O swabs o pito pito lata mai ma pito pito i lalo o le agar tract i antiseptic ma faʻataʻitaʻiga faʻataʻitaʻiga na faʻataʻitaʻiina.Ole maualuga ole CHX muamua ma totoe, (lima aso talu ona faʻapipiʻiina ile faʻataʻitaʻiga) na fuafuaina.O aganu'u o ETT fa'ama'i fa'ama'i na fa'aalia ai le nofoia e fa'ama'i fa'ata'ita'iina mai le 1-100 cfu/tube, fa'atusatusa i le tusa ma le 10(6) cfu/tube mo ETT fa'atonutonu (P <0.001).Subcultures mai pito lata mai ma pito mamao o le agar tract na faʻaalia ai le laʻititi pe leai foi se tuputupu aʻe i le antiseptic ETTs faʻatusatusa i le pulea ETTs (P <0.001).Ole aofa'i ole CHX o lo'o taofia ile antiseptic ETTs ina ua mae'a aso e lima ole fa'ato'aga e tusa ma le 45% ole tulaga muamua.O le antiseptic ETTs na puipuia ai le fa'atupuina o siama i le fa'ata'ita'iga o le ea ma fa'atumauina ai fo'i le tele o vaila'au fa'ama'i.O nei fa'ai'uga ua fa'ailoa mai ai o le aoga o le antiseptic-impregnated ETTs i le puipuia o le tuputupu a'e o siama fa'ama'i e feso'ota'i ma le VAP e ono fesuisuia'i i meaola eseese.Copyright 2004 The Hospital Infection Society