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Table 5 Colonization in surveillance samples by colistin- and tobramycin-resistant pathogens

From: Long-term use of selective digestive decontamination in an ICU highly endemic for bacterial resistance

Variables

SDD period (between October 2011 and September 2015)

Total

1st year

2nd year

3rd year

4th year

(n = 285)

(n = 59)

(n = 56)

(n = 69)

(n = 101)

Male sex, %

66.7

67.8

71.4

60.9

67.2

Age, years, mean ± SD

60.7 ± 15.0

56.2 ± 14.4

61.0 ± 16.0

61.3 ± 12.4

62.4 ± 16.1

Total patients

3948

1067

1069

851

961

Patients with SDD

1998

522

381

430

665

Colistin

 Resistance at ICU admission

113 (39.6)

5 (8.5)

17 (30.4)

30 (43.5)

61 (60.4)

 Development of resistance

30 (10.5)

3 (5.1)

8 (14.3)

7 (10.1)

12 (11.9)

Observed (at ICU admission)

 Rate/100 patients

2.86

0.47

1.59

3.53

6.35

 Rate/100 patients SDD

5.66

0.96

4.46

6.98

9.17

Estimated (acquired in ICU)

 Rate/100 patients

0.76

0.28

0.75

0.82

1.25

 Rate/100 patients SDD

1.5

0.57

2.1

1.63

1.8

Tobramycin

 Resistance at ICU admission

151 (52.9)

17 (6.0)

32 (11.2)

34 (11.9)

68 (23.9)

 Development of resistance

30 (10.5)

1 (0.4)

3 (1.1)

15 (5.3)

11 (3.9)

Observed (at ICU admission)

 Rate/100 patients

3.82

1.59

2.99

3.99

7.08

 Rate/100 patients SDD

7.56

3.26

8.4

7.91

10.23

Estimated (acquired in ICU)

    

 Rate/100 patients

0.76

0.09

0.28

1.76

1.14

 Rate/100 patients SDD

1.5

0.19

0.79

3.49

1.65

  1. ICU Intensive care unit, SDD Selective digestive tract decontamination