2021, Number 2
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Acta de Otorrinolaringología CCC 2021; 49 (2)
Characterization of infections in children with Tracheostomy Tube: A Systematic Review of the Literature
Gutiérrez-Pérez ML, Lugo-Machado JA, Yocupicio-Hernández DI, Navarro-Pimiento DC
Language: Spanish
References: 23
Page: 112-120
PDF size: 240.38 Kb.
ABSTRACT
Introduction: Currently, health professionals face the management of artificial
airways in pediatric groups, this requires delicate care and a lot of attention to detect,
establish and manage pressing situations, which is why there is a greater risk
of tracheo-pulmonary bacterial infections. The objective was to analyze the characterization
of infections in pediatric patients with tracheostomy tubes in the different
scientific publications.
Method: A systematic review of the literature was carried out
between the years 2015-2020 in Elsevier, PubMed, Google Academic and SciELO
databases, taking into account the inclusion criteria of the population aged 0-15 years
in the years 2015-2020. The amount of existing literature on the subject was considered
an important limitation.
Results: From 258 articles distributed in the databases,
21 articles were selected that met the inclusion criteria.
Conclusions: Although there
are currently clinical criteria, risk factors and laboratory tests associated with infections
of the post-tracheotomy tube in pediatric patients, further research is required
to define clinical guidelines for management in medical decision-making.
REFERENCES
Westwood EL, Hutchins JV, Thevasagayam R. Quality oflife in paediatric tracheostomy patients and their caregivers- A cross-sectional study. Int J Pediatr Otorhinolaryngol. 2019;127:109606.
Singh A, Zubair A. Pediatric Tracheostomy. En: StatPearls[Internet]. Treasure Island (FL): StatPearls Publishing; 2021[citado 26 de mayo de 2021]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK560622/
Van Ginderdeuren F, Vandenplas Y, Deneyer M, VanlaethemS, Buyl R, Kerckhofs E. Effectiveness of airway clearancetechniques in children hospitalized with acute bronchiolitis.Pediatr Pulmonol. 2017;52(2):225-231. doi: 10.1002/ppul.23495
Kohbodi GA, Rajasurya V, Noor A. Ventilator-associatedPneumonia. En: StatPearls [Internet]. Treasure Island(FL): StatPearls Publishing; 2021 [citado 26 de mayo de2021]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK507711/
Tracheobronchitis associated with tracheostomy tubes andendotracheal intubation in children - UpToDate [Internet].[citado 26 de mayo de 2021]. Disponible en: https://www.uptodate.com/contents/tracheobronchitis-associated-withtracheostomy-tubes-and-endotracheal-intubation-in-children
Mehta AB, Cooke CR, Wiener RS, Walkey AJ. HospitalVariation in Early Tracheostomy in the United States: APopulation-Based Study. Crit Care Med. 2016;44(8):1506-14.doi: 10.1097/CCM.0000000000001674
Muller RG, Mamidala MP, Smith SH, Smith A, SheynA. Incidence, Epidemiology, and Outcomes of PediatricTracheostomy in the United States from 2000 to 2012.Otolaryngol Head Neck Surg. 2019;160(2):332-338. doi:10.1177/0194599818803598
Watters KF. Tracheostomy in Infants and Children. RespirCare. 2017;62(6):799-825. doi: 10.4187/respcare.05366
Ni JS, Kohn J, Shah UK, Levi JR. Acute pediatric tracheitis:Distinguishing the disease by tracheostomy status. Int JPediatr Otorhinolaryngol. 2020;130:109800. doi: 10.1016/j.ijporl.2019.109800
Casazza G, Graham ME, Nelson D, Chaulk D, Sandweiss D,Meier J. Pediatric Bacterial Tracheitis-A Variable Entity: CaseSeries with Literature Review. Otolaryngol Head Neck Surg.2019;160(3):546-549. doi: 10.1177/0194599818808774
Wheeler DS, Whitt JD, Lake M, Butcher J, Schulte M, StaletsE. A Case-Control Study on the Impact of Ventilator-AssociatedTracheobronchitis in the PICU. Pediatr Crit Care Med.2015;16(6):565-71. doi: 10.1097/PCC.0000000000000405
Grønhøj C, Charabi B, Buchwald C von, Hjuler T. Indications,risk of lower airway infection, and complications to pediatrictracheotomy: report from a tertiary referral center. ActaOtolaryngol (Stockh). 2017;137(8):868-71.
Sanders CD, Guimbellot JS, Muhlebach MS, Lin FC, GilliganP, Esther CR Jr. Tracheostomy in children: Epidemiology andclinical outcomes. Pediatr Pulmonol. 2018;53(9):1269-1275.doi: 10.1002/ppul.24071
Barros CE, Almeida JA, Silva MHE, Ayres GHDS, Oliveira CG,Braga CADSB, et al. Pediatric tracheostomy: epidemiologyand characterization of tracheal secretion - a literature review.Rev Assoc Med Bras (1992). 2019;65(12):1502-1507. doi:10.1590/1806-9282.65.12.1502
Tan C-Y, Chiu N-C, Lee K-S, Chi H, Huang F-Y, Huang DT-N,et al. Respiratory tract infections in children with tracheostomy.J Microbiol Immunol Infect Wei Mian Yu Gan Ran Za Zhi.2020;53(2):315-20.
McCaleb R, Warren RH, Willis D, Maples HD, Bai S, O’BrienCE. Description of Respiratory Microbiology of Children WithLong-Term Tracheostomies. Respir Care. 2016;61(4):447-52.doi: 10.4187/respcare.03518
Cline JM, Woods CR, Ervin SE, Rubin BK, Kirse DJ.Surveillance tracheal aspirate cultures do not reliably predictbacteria cultured at the time of an acute respiratory infection inchildren with tracheostomy tubes. Chest. 2012;141(3):625-631.doi: 10.1378/chest.10-2539
Russell CJ, Simon TD, Neely MN. Development of ChronicPseudomonas aeruginosa-Positive Respiratory Cultures inChildren with Tracheostomy. Lung. 2019;197(6):811-817. doi:10.1007/s00408-019-00285-6
Russell CJ, Simon TD, Mamey MR, Newth CJL, Neely MN.Pseudomonas aeruginosa and post-tracheotomy bacterialrespiratory tract infection readmissions. Pediatr Pulmonol.
2017;52(9):1212-1218. doi: 10.1002/ppul.2371620. Russell CJ, Mamey MR, Koh JY, Schrager SM, Neely MN,Wu S. Length of Stay and Hospital Revisit After BacterialTracheostomy–Associated Respiratory Tract InfectionHospitalizations. Hosp Pediatr. 2018;8(2):72-80. doi: 10.1542/hpeds.2017-0106
Cader SHA, Shah FA, Nair SKGR. Tracheostomy colonisationand microbiological isolates of patients in intensive care units-aretrospective study. World J Otorhinolaryngol Head Neck Surg.2020;6(1):49-52. doi: 10.1016/j.wjorl.2019.04.002
Zustiak TG, Finch MD, Griffin KH. Comparison of PediatricTracheostomy Stoma Cleaning Solutions. Respir Care.2020;65(8):1090-1093. doi: 10.4187/respcare.07429
Kun SS, Edwards JD, Ward SL, Keens TG. Hospitalreadmissions for newly discharged pediatric home mechanicalventilation patients. Pediatr Pulmonol. 2012;47(4):409-14. doi:10.1002/ppul.21536