Alaabta

Saamaynta tubbada endotracheal (ETTs) ee ay ku jirto chlorhexidine (CHX) iyo carbonate silver (antiseptic ETTs) oo ka dhan ah Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Pseudomonas aeruginosa, Acinetobacter baumannii, iyo Enterobacter aerogenes oo la xidhiidha neefta. pneumonia la xiriirta (VAP)], ayaa lagu qiimeeyay qaabka shaybaarka hawo-mareenka.Antiseptic ETTs iyo kontoroolka ETTs (aan la qabin) ayaa la geliyey tuubooyin dhaqameed kala badh ka buuxan warbaahinta agar (qaabka hawo-mareenka) oo hore u wasakhaysan dusha sare oo leh 10 (8) cfu / mL ee noolaha tijaabada ee la doortay.Ka dib shan maalmood oo ku-soo-bax ah, waxaa la go'aamiyay tirinta gumeysiga bakteeriyada ee dhammaan qaybaha ETT.Xuubyada u dhow iyo darafyada fog ee marinka agar ee jeermiska jeermiska dila iyo moodooyinka xakamaynta ayaa la hoos geeyay.Heerarka CHX ee bilowga ah iyo kuwa hadha, (shan maalmood ka dib tallaalka qaabka) ayaa la go'aamiyay.Dhaqamada jeermiska jeermiska dila ETTs waxay daaha ka qaadeen gumaysi ay sameeyeen cudur-sideyaasha la tijaabiyay oo u dhexeeya 1-100 cfu/tube, marka la barbar dhigo ku dhawaad ​​imately 10(6) cfu/tube ee xakamaynta ETTs (P <0.001).Dhaqan-hoosaadyada ka soo jeeda darafyada u dhow iyo kuwa fog ee marinka agar waxay muujiyeen korriin yar ama aan lahayn koritaanka ETT-yada antiseptic marka la barbar dhigo xakamaynta ETTs (P <0.001).Qadarka CHX ee lagu hayo jeermiska jeermiska dila ee ETTs shan maalmood oo la geliyo ka dib waxay ahayd celcelis ahaan 45% heerka bilowga.Antiseptic ETTs waxay ka hortagtay gumeysiga bakteeriyada qaabka marin-haweedka waxayna sidoo kale haysteen xaddi badan oo ah jeermiska-jeermiska.Natiijooyinkani waxay muujinayaan in waxtarka ETTs-ka-hortagga-dillaaca ee ka hortagga koritaanka bakteeriyada bakteeriyada ee la xiriirta VAP ay ku kala duwanaan karto noolaha kala duwan. Xuquuqda daabacaadda 2004 Bulshada Caabuqa Isbitaalka