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Volume 360:2138-2141 May 14, 2009 Number 20
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Decontamination of the Digestive Tract in ICU Patients

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by de Smet, A.M.G.A.
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To the Editor: De Smet and colleagues (Jan. 1 issue)1 do not address the effects of selective digestive tract decontamination (SDD) in intensive care units (ICUs) on the increasing prevalence of enterococci, which leads to additional use of vancomycin and the emergence of vancomycin-resistant enterococci (VRE). The authors report that in the short term, rates of antibiotic-resistant gram-negative bacteria during SDD or selective oropharyngeal decontamination (SOD) were lower than during standard care. Rates of bacteremia with enterococci were slightly lower during SDD or SOD. However, no data on carriage of enterococci are presented.

In the United States and Europe, the . . . [Full Text of this Article]



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