Characterization of infections in children with Tracheostomy Tube: A Systematic Review of the Literature

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Martha Lucía Gutiérrez-Pérez
Juan Antonio Lugo-Machado
Dalia Iveth Yocupicio-Hernández
Diana Camila Navarro-Pimiento

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.


Objective: To identify the number of scientific publications on infections in pediatric patients with tracheotomy tubes.


Design: Systematic review of the literature.


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.

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How to Cite
1.
Gutiérrez-Pérez ML, Lugo-Machado JA, Yocupicio-Hernández DI, Navarro-Pimiento DC. Characterization of infections in children with Tracheostomy Tube: A Systematic Review of the Literature. Acta otorrinolaringol cir cabeza cuello [Internet]. 2021Jul.2 [cited 2024Jul.3];49(2):112 - 0. Available from: https://revista.acorl.org.co/index.php/acorl/article/view/582
Section
Trabajos Originales
Author Biography

Martha Lucía Gutiérrez-Pérez, a:1:{s:5:"es_ES";s:22:"Estudiante de Medicina";}

Medical Student, Universidad El Bosque, Bogotá, Colombia. Founder and Leader of the Otorhinolaryngology Interest Group UEB (ORLIG-UEB).

References

Westwood EL, Hutchins JV, Thevasagayam R. Quality of life in paediatric tracheostomy patients and their caregivers - A cross-sectional study. Int J Pediatr Otorhinolaryngol.

;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, Vanlaethem S, Buyl R, Kerckhofs E. Effectiveness of airway clearance techniques 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-associated Pneumonia. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [citado 26 de mayo de 2021]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK507711/

Tracheobronchitis associated with tracheostomy tubes and endotracheal intubation in children - UpToDate [Internet]. [citado 26 de mayo de 2021]. Disponible en: https://www.uptodate.com/contents/tracheobronchitis-associated-with-tracheostomy-tubes-and-endotracheal-intubation-in-children

Mehta AB, Cooke CR, Wiener RS, Walkey AJ. Hospital Variation in Early Tracheostomy in the United States: A Population-Based Study. Crit Care Med. 2016;44(8):1506-14. doi: 10.1097/CCM.0000000000001674

Muller RG, Mamidala MP, Smith SH, Smith A, Sheyn A. Incidence, Epidemiology, and Outcomes of Pediatric Tracheostomy 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. Respir Care. 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 J Pediatr 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: Case Series 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, Stalets E. A Case-Control Study on the Impact of Ventilator-Associated Tracheobronchitis 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 pediatric tracheotomy: report from a tertiary referral center. Acta Otolaryngol (Stockh). 2017;137(8):868-71.

Sanders CD, Guimbellot JS, Muhlebach MS, Lin FC, Gilligan P, Esther CR Jr. Tracheostomy in children: Epidemiology and clinical 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: epidemiology and 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'Brien CE. Description of Respiratory Microbiology of Children With Long-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 predict bacteria cultured at the time of an acute respiratory infection in children with tracheostomy tubes. Chest. 2012;141(3):625-631. doi: 10.1378/chest.10-2539

Russell CJ, Simon TD, Neely MN. Development of Chronic Pseudomonas aeruginosa-Positive Respiratory Cultures in Children 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 bacterial respiratory tract infection readmissions. Pediatr Pulmonol. 2017;52(9):1212-1218. doi: 10.1002/ppul.23716

Russell CJ, Mamey MR, Koh JY, Schrager SM, Neely MN, Wu S. Length of Stay and Hospital Revisit After Bacterial Tracheostomy–Associated Respiratory Tract Infection Hospitalizations. Hosp Pediatr. 2018;8(2):72-80. doi: 10.1542/hpeds.2017-0106

Cader SHA, Shah FA, Nair SKGR. Tracheostomy colonisation and microbiological isolates of patients in intensive care units-a retrospective 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 Pediatric Tracheostomy Stoma Cleaning Solutions. Respir Care. 2020;65(8):1090-1093. doi: 10.4187/respcare.07429

Kun SS, Edwards JD, Ward SL, Keens TG. Hospital readmissions for newly discharged pediatric home mechanical ventilation patients. Pediatr Pulmonol. 2012;47(4):409-14. doi: 10.1002/ppul.21536

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