Comparison of Bacterial Pattern In Trachea and Tracheal Stoma With the Incidence of Tracheal Stoma Infection at Mohammad Hoesin Central Hospital Palembang

Authors

  • Vitta Kusmawijaya Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine Sriwijaya University / Dr. Mohammad Hoesin Hospital Pelambang, Indonesia, Indonesia
  • Lisa Apri Yanti Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine Sriwijaya University / Dr. Mohammad Hoesin Hospital Pelambang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v10i1.825

Keywords:

tracheostomy, tracheal stoma infection , bacterial pattern

Abstract

BACKGROUND: Tracheostomy is a procedure to incise or make a hole in the trachea. The use of tracheal cannula leads to direct exposure of pathogens to the respiratory tract. It is necessary to identify bacterial pattern in an attempt to overcome tracheal stoma infections in order to prevent further complications.

OBJECTIVE : This study is to compare bacterial pattern in trachea and tracheal stoma on the incidence of tracheal stoma infection.

METHODS: Observational research with a cross-sectional design. Medical record data on 60 subjects who underwent tracheal and tracheal stoma swabs and culture examination from November 2020 to October 2021 were collected. Bivariate analysis using Fischer exact test and Chi-square categorical comparative test.

RESULTS: Sixty subjects obtained 13 species of bacteria, all identified as gram-negative bacteria. Most of the bacterial sequences and analysis of bacterial pattern were Pseudomonas aeruginosa(p>0.05), Klebsiela pneumonia(p>0.05), Escherichia coli (p>0.05) and Serratia marcescen(p>0.05) on the incidence of tracheal stoma infection.

CONCLUSION: There is no difference in the bacterial pattern of the trachea and tracheal stoma on the incidence of tracheal stoma infection.

Downloads

Download data is not yet available.

References

  1. Klingerman MP, Saraswathula A, Sethi RK, Divi V . Tracheostomy Complications in the Emergency Department: A National Analysis of 38,271 Cases. ORL J Otorhinolaryngol Relat Spec.2020;82(2):106-114. Available from : https://pubmed.ncbi.nlm.nih.gov/32036376/ doi: 1159/000505130
  2. Rao KM, Panchami. A descriptive study to determine the bacterial flora and antibiotic sensitivity of lower respiratory tract in tracheostomised patients. Int J Otorhinolaryngol Head Neck Surg. 2020 Apr;6(4):701-70. Available from : http://dx.doi.org/10.18203/issn.2454-5929.ijohns20201286
  3. Alijanpour E. Tracheostomy : Complications and Causes of Complications. Asian Journal of Pharmaceutics.2018;12(2):647-54. Available from : https://doi.org/10.22377/ajp.v12i02.2410
  4. Hoseini F, Zarankesh SH, Alijanpour E, Gerdrodbari. Tracheostomy: Complications and Causes of Complications. Asian Journal of Pharmaceutics .2018;12(2):S647.Available from : https://doi.org/10.22377/ajp.v12i02.2410
  5. Ajiya A. Pattern of tracheostomy-related complications and its determinants in Kano: a ten-year single institution experience. Journal of Medicine in the Tropics.2020;22(2). Available from : https://www.jmedtropics.org/article.asp?issn=2276-7096;year=2020;volume=22;issue=2;spage=93;epage=99;aulast=Ajiya;type=0 doi: 4103/jomt.jomt_43_19
  6. Saravanam P, Jayagandhi S, Shajahan S. Microbial Profile in Tracheostomy Tube and Tracheostoma trakea: A Prospective Study. Indian J Otolaryngol Head Neck Surg.2019. Available from : https://link.springer.com/article/10.1007/s12070-019-01743-6 doi:1007/s12070-019-01743-6
  7. Kumarasinghe D, Wong E, Duvnjak M, Sritharan N, Smith M, Palme C, et al. Risk factors associated with microbial colonisation and infection of tracheostomy tubes. Am J Otolaryngol.2020;41(4):102495. Available from : https://www.sciencedirect.com/science/article/abs/pii/S0196070920301770?via%3Dihub doi: 10.1016/j.amjoto.2020.102495
  8. Paudel L, Ranabhat K, Devkota UP. Life threatening site bleeding from granulation tissue mimicking tracheo innominate fistula. Nepal Med Coll J. 2018; 20(4): 183-186. Available from : https://doi.org/10.3126/nmcj.v20i4.26432
  9. Dahlan MS. Besar Sampel dan Cara Pengambilan Sampel. 3rd ed. Jakarta : Salemba Medika. 2013.
  10. Vedhapoodi AG, Ankle NR, Nagmoti J. Microbial Pattern of Tracheal Aspirate in Tracheostomized Patients in a Tertiary Care Center and Its Clinical Implications. Int J Otorhinolaryngol Clin 2021; 13 (3):87-94. Available from : https://www.aijoc.com/abstractArticleContentBrowse/AIJOC/7/13/3/27574/abstractArticle/Article doi : 10.5005/jp-journals-10003-1393
  11. Paudel L, Ranabhat K, Devkota UP. Life threatening site bleeding from granulation tissue mimicking tracheo innominate fistula. Nepal Med Coll J 2018; 20(4): 183-186. Available from : https://doi.org/10.3126/nmcj.v20i4.26432
  12. Abdul C, Shah FA, Nair R. Tracheostomy colonisation and microbiological isolates of patients in intensive care units-a retrospective study. World Journal of Otorhinolaryngology-Head and Neck Surgery. 2020 Mar; 6(1): 49–52. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221207/ doi: 1016/j.wjorl.2019.04.002
  13. Cheikh MR, Barbosa JM, Caixeta JS, Avelino MA. Microbiology of Tracheal Secretions: What to Expect with Children and Adolescents with Tracheostomies. Int Arch Otorhinolaryngol.2018 Jan;22(1):50-54. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783684/ doi: 10.1055/s-0037-1601403
  14. Dray S, Coiffard B, Persico N, Papazian L, Hraiech S. Are tracheal surveillance cultures useful in the intensive care unit?. Ann Transl Med.2018 Nov; 6(21): 421. Available from : https://atm.amegroups.com/article/view/21620/21651 doi:  10.21037/atm.2018.08.39
  15. Chavan R, Ingole S, Mane B, Kalekar TM, Birajdar SN. Tracheostomy: Experience at Tertiary Hospital. Indian J Otolaryngol Head Neck Surg.2019 Oct; 71(Suppl 1): 580–584. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848655/ doi: 1007/s12070-018-1417-1
  16. Russo TA, Johnson JR. Diseases Caused by Gram-Negative Enteric Bacilli. In: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Harrison's Principles of Internal Medicine, 19e. McGraw Hill; 2014. Available from : https://accessmedicine.mhmedical.com/content.aspx?bookid=1130&sectionid=79735990
  17. Yue M, Lei M, Liu Y, Gui N. The application of moist dressings in wound care for tracheostomy patients: A meta‐ J Clin Nurs. 2019;28:2724–2731. Available from : https://doi.org/10.1111/jocn.14885
  18. Lepainteur M, Ogna A, Clair B, Dinh A, Tarragon C, Prigent H, et al. Risk Factors for respiratory tract bacterial colonization in adults with neuromuscular or neurological disorders. Respiratory mediciine journal.2019;152:32-36. Available from : https://pubmed.ncbi.nlm.nih.gov/31128607/  doi: 10.1016/j.rmed.2019.04.015
  19. Dray S, Coiffard B, Persico N, et al. Are tracheal surveillance cultures useful in the intensive care unit?. Ann Transl Med. 2018 Nov; 6(21): 421. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275408/ doi: 21037/atm.2018.08.39
  20. Alrabiah A, Alhussinan K, Alyousef M, Alsayed A, Aljasser A, Alduraywish S, et al. Microbiological profiles of tracheostomy patients: a single-center experience. Multidiscip Respir Med. 2021 Dec 22;16(1):811. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743611/ doi: 10.4081/mrm.2021.811

Additional Files

Published

2023-03-31

How to Cite

1.
Kusmawijaya V, Yanti LA. Comparison of Bacterial Pattern In Trachea and Tracheal Stoma With the Incidence of Tracheal Stoma Infection at Mohammad Hoesin Central Hospital Palembang. Medica Hospitalia J. Clin. Med. [Internet]. 2023 Mar. 31 [cited 2024 May 3];10(1):38-43. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/825

Issue

Vol. 10 No. 1 (2023): Med Hosp; March 2023

Section

Original Article

Citation Check

License

Copyright (c) 2023 Vitta Kusmawijaya

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.