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Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication
This prospective cohort study aimed to: (1) describe types, concentrations and sensitivity profiles of bacteria found in gastric aspirates of neurologically impaired children; (2) compare flora between outpatients and those admitted with aspiration pneumonia; and (3) examine predictors of bacterial...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599560/ https://www.ncbi.nlm.nih.gov/pubmed/33003430 http://dx.doi.org/10.3390/children7100154 |
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author | De Souza, Bradley Richardson, Susan E. Cohen, Eyal Mahant, Sanjay Avitzur, Yaron Carsley, Sarah Rapoport, Adam |
author_facet | De Souza, Bradley Richardson, Susan E. Cohen, Eyal Mahant, Sanjay Avitzur, Yaron Carsley, Sarah Rapoport, Adam |
author_sort | De Souza, Bradley |
collection | PubMed |
description | This prospective cohort study aimed to: (1) describe types, concentrations and sensitivity profiles of bacteria found in gastric aspirates of neurologically impaired children; (2) compare flora between outpatients and those admitted with aspiration pneumonia; and (3) examine predictors of bacterial colonization. Gastric aspirates from gastrostomy fed, neurologically impaired children on antacid medication were measured for pH and sent for microbiological testing. The outpatient arm included 26 children at their baseline; the inpatient arm included 31 children with a clinical diagnosis of aspiration pneumonia. Descriptive statistics summarized the ecology and resistance patterns of microbial flora. Predictors of total bacterial colonization were explored with linear regression. High concentrations of potentially pathogenic fecal-type bacteria were detected in 50/57 (88%) gastric aspirates. pH was found to be the only predictor of bacterial growth; children with gastric pH ≥ 4 had significantly higher concentrations of aerobic growth, while those with no bacterial growth had a pH < 4. Further studies to evaluate optimal gastric pH, the role of gastric bacteria in causing aspiration pneumonia, and the optimal empiric therapy for aspiration pneumonia are recommended. |
format | Online Article Text |
id | pubmed-7599560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-75995602020-11-01 Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication De Souza, Bradley Richardson, Susan E. Cohen, Eyal Mahant, Sanjay Avitzur, Yaron Carsley, Sarah Rapoport, Adam Children (Basel) Article This prospective cohort study aimed to: (1) describe types, concentrations and sensitivity profiles of bacteria found in gastric aspirates of neurologically impaired children; (2) compare flora between outpatients and those admitted with aspiration pneumonia; and (3) examine predictors of bacterial colonization. Gastric aspirates from gastrostomy fed, neurologically impaired children on antacid medication were measured for pH and sent for microbiological testing. The outpatient arm included 26 children at their baseline; the inpatient arm included 31 children with a clinical diagnosis of aspiration pneumonia. Descriptive statistics summarized the ecology and resistance patterns of microbial flora. Predictors of total bacterial colonization were explored with linear regression. High concentrations of potentially pathogenic fecal-type bacteria were detected in 50/57 (88%) gastric aspirates. pH was found to be the only predictor of bacterial growth; children with gastric pH ≥ 4 had significantly higher concentrations of aerobic growth, while those with no bacterial growth had a pH < 4. Further studies to evaluate optimal gastric pH, the role of gastric bacteria in causing aspiration pneumonia, and the optimal empiric therapy for aspiration pneumonia are recommended. MDPI 2020-09-29 /pmc/articles/PMC7599560/ /pubmed/33003430 http://dx.doi.org/10.3390/children7100154 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article De Souza, Bradley Richardson, Susan E. Cohen, Eyal Mahant, Sanjay Avitzur, Yaron Carsley, Sarah Rapoport, Adam Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication |
title | Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication |
title_full | Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication |
title_fullStr | Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication |
title_full_unstemmed | Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication |
title_short | Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication |
title_sort | gastric flora in gastrostomy fed children with neurological impairment on antacid medication |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599560/ https://www.ncbi.nlm.nih.gov/pubmed/33003430 http://dx.doi.org/10.3390/children7100154 |
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