Pharmacy World and Science

, Volume 17, Issue 1, pp 12–16

Selective digestive decontamination in multiple trauma patients: Cost and efficacy

  • A. Langlois-Karaga
  • M. Bues-Charbit
  • A. Davignon
  • J. Albanese
  • O. Durbec
  • C. Martin
  • N. Morati
  • G. Balansard
Article

Abstract

A double-blind randomized placebo-controlled study was carried out to evaluate the efficacy and the cost of selective digestive decontamination (SDD) to prevent nosocomial pneumonia in multiple-trauma patients. Nosocomial infections, particularly pneumonia, were more frequent in the placebo group. The most common infectious agent wasStaphylococcus: Staphylococcus aureus in the placebo group andStaphylococcus epidermidis in the SDD group. Methicillin-resistantStaphylococcus epidermidis was detected more often in the SDD group. No methicillin-resistantStaphylococcus aureus was observed in this study. Fewer patients in the SDD group required antibiotherapy. SDD resulted in a saving of about 41% in drug expenditure.

Keywords

Antibiotics Bacteria Clinical trials Costs and cost analysis Drug utilization Infection Multiple trauma Selective digestive decontamination 

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Copyright information

© Royal Dutch Association for Advancement of Pharmacy 1995

Authors and Affiliations

  • A. Langlois-Karaga
    • 1
  • M. Bues-Charbit
    • 1
  • A. Davignon
    • 1
  • J. Albanese
    • 2
  • O. Durbec
    • 2
  • C. Martin
    • 2
  • N. Morati
    • 3
  • G. Balansard
    • 1
  1. 1.PharmacyHôpital NordMarseille Cedex 15France
  2. 2.Intensive Care UnitHôpital NordMarseilleFrance
  3. 3.Medical Information UnitHôpital NordMarseilleFrance

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