Artikel
Occurrence pathological organisms at tracheotomized and laryngectomized patients with and without HME (arficial nose)
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Autoren
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Burkhard Kramp
- University Rostock Medical School, Department of ENT and Head and Neck Surgery, Rostock
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Steffen Dommerich
- University Rostock Medical School, Department of ENT and Head and Neck Surgery, Rostock
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Martina Donat
- Dept.of Med.Microbiology, Virology & Hygiene, University Hospital Rostock, Rostock
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Andreas Podbielski
- Head of Dept.of Med.Microbiology, Virology & Hygiene, University Hospital Rostock, Rostock
| Veröffentlicht: | 22. September 2005 |
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Gliederung
Text
Introduction: The main cause of respiratory problems after tracheotomy or laryngectomy is the functional loss of the nose with its filtering, warming and humidifying. In last years HME (Heat and Moisture Exchanger) are used to compensate functional loss of the nose.
Problem: Can we see by using of the HME-System changing in the bacteriological colonization?
Material and Methods: We have taken swabs out of the trachea at tracheotomized and laryngectomized patients without preservation, with stoma flap and HME prospectively and retrospektively.
Results: There where not a difference of the number of germs in the retrospectively patients between the various preservations. The team of patients with a tracheotomy prospectively with an HME-System had loss germs.
In the laryngectomized patients with HME had more facultatively pathological germs prospectively. Staphylococcus aureaus was detected in the most patients in the trachea and MRSA in one.
Conclusion: Our investigations show not increase on the bacteriological colonization of the air in the trachea and therfore Heat and Moisture Exchanger are useful for the better quality of life of tracheotomized and laryngectomized patients.
