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Influence of gastrostomy on the colonization of the stomach: Impact on neonatal septicaemia

Einfluβ der Gastrostomie auf die Kolonisation des Magens — Sepsisquelle beim Neugeborenen?

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Summary

Quantitative bacterial counts were carried out on 161 gastric aspirates of 65 neonates with gastrostomy. In comparison to 101 controls — cultures of premature infants without gastrostomy —Enterobacteriaceae, enterococci,Pseudomonas andCandida were found far more frequently (p<0.01). The colonization of the stomach was influenced by the duration of gastrostomy and by the pH of the gastric juice but not by systemic antibiotic therapy or the kind of food. Six newborns with gastrostomy developed septicaemia caused by the same organisms as we had found in elevated numbers in their gastric aspirates. The influence of non-absorbable antibiotics was studied prospectively in 72 gastric aspirates and 48 stool specimens. There was no highly significant difference between infants who had been treated with these antibiotics and those who had not.

Zusammenfassung

Es wird über 161 quantitative bakteriologische Untersuchungen des Mageninhalts bei 65 gastrostomierten Neugeborenen berichtet. Im Vergleich zu 101 Untersuchungen an nichtgastrostomierten Frühgeborenen fanden sich hochsignifikant häufigerEnterobacteriaceae, Enterokokken,Pseudomonas undCandida (p<0.01). Die Kolonisation des Magens wurde von der Dauer der Gastrostomie und dem pH-Wert des Magensaftes beeinflußt, nicht aber von intravenöser Antibiotika-Gabe oder der Art der Ernährung. Sechs gastrostomierte Kinder erkrankten an einer Sepsis mit dem gleichen Erreger in der Blutkultur, der sich auch in hoher Konzentration im Mageninhalt zeigte. Der Einfluß schwer resorbierbarer Antibiotika wurde prospektiv an 72 Aspiraten von Mageninhalt und 48 Stuhlproben untersucht. Hierbei zeigten sich keine hochsignifikanten Unterschiede zwischen behandelten und nictbehandelten Kindern.

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This paper is dedicated to Prof. Dr. med.W. Marget on the occasion of his 65th birthday.

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Kraeft, H., Roos, R. & Mrozik, E. Influence of gastrostomy on the colonization of the stomach: Impact on neonatal septicaemia. Infection 13, 211–215 (1985). https://doi.org/10.1007/BF01667213

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Keywords

  • Public Health
  • Internal Medicine
  • Infectious Disease
  • Pseudomonas
  • General Practice