Nasogastric tube and outcomes ofClostridium difficileinfection: A systematic review and meta-analysis
| Autor: | Parkpoom Phatharacharukul, Suthanya Sornprom, Karn Wijarnpreecha, Charat Thongprayoon, Wisit Cheungpasitporn |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
genetic structures business.industry Health Policy Hazard ratio MEDLINE General Medicine Odds ratio Confidence interval 03 medical and health sciences 0302 clinical medicine Systematic review Recurrence Internal medicine Meta-analysis Relative risk Clostridium Infections medicine Humans 030211 gastroenterology & hepatology Observational study 030212 general & internal medicine business Intubation Gastrointestinal |
| Zdroj: | Journal of Evidence-Based Medicine. 11:40-45 |
| ISSN: | 1756-5391 |
| DOI: | 10.1111/jebm.12288 |
| Popis: | Aims Clostridium difficile infection (CDI) is a major concern for public health worldwide. Interestingly, the risk of poor clinical outcomes of CDI in patients with nasogastric tube (NGT) insertion is still controversial. The aim of this study was to assess the outcomes of CDI in patients with NGT insertion. Methods A literature search was performed using MEDLINE, EMBASE, and The Cochrane Database of Systematic Reviews from inception through November 2017. Studies that reported relative risks, odds ratios, or hazard ratios comparing the clinical outcome of CDI in patients with NGT versus those who did not were included. Pooled risk ratios (RR) and 95% confidence interval (CI) were calculated using a random-effect, generic inverse variance method. Results Eight observational studies were included in our analysis to assess the association between NGT insertion and risk of poor outcome of CDI. The pooled RR of severe or complicated clinical outcomes of CDI in patients with NGT insertion was 1.81 (95% CI: 1.17 to 2.81). Conclusions This study demonstrated a statistically significant association between NGT insertion and risk of poor outcomes of CDI. This finding may impact clinical management and primary prevention of CDI. Avoidance of unnecessary NGT uses would improve the clinical outcomes of CDI. |
| Databáze: | OpenAIRE |
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