Oral Antibiotics Reduce Intestinal Necrosis in Acute Mesenteric Ischemia: A Prospective Cohort Study View Full Text


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Article Info

DATE

2018-12-11

AUTHORS

Alexandre Nuzzo, Leon Maggiori, Catherine Paugam-Burtz, Dominique Cazals-Hatem, Maxime Ronot, Audrey Huguet, Aymeric Becq, Yves Castier, Emmanuel Weiss, Aurélie Plessier, Alexy Tran-Dinh, Francisca Joly, Yves Panis, Yoram Bouhnik, Nathalie Gault, Olivier Corcos

ABSTRACT

OBJECTIVES: To identify treatments likely to prevent progression towards irreversible transmural intestinal necrosis (ITIN) in acute mesenteric ischemia (AMI). METHODS: Prospective observational cohort study from a French intestinal stroke center. Multivariate analysis using a time-dependent Cox regression model. RESULTS: Between 2009 and 2015, 67 patients with AMI were included. ITIN occurred in 34% of patients and mortality was 13%. Oral antibiotics was independently associated with a decreased risk of ITIN (HR: 0.16 (95% CI = 0.03-0.62); p = 0.01). CONCLUSIONS: By decreasing luminal bacterial load and translocation, oral antibiotics in addition to early revascularization might reduce progression of AMI to ITIN. More... »

PAGES

1-5

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URI

http://scigraph.springernature.com/pub.10.1038/s41395-018-0389-9

DOI

http://dx.doi.org/10.1038/s41395-018-0389-9

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https://app.dimensions.ai/details/publication/pub.1110532392

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30538292


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21 schema:description OBJECTIVES: To identify treatments likely to prevent progression towards irreversible transmural intestinal necrosis (ITIN) in acute mesenteric ischemia (AMI). METHODS: Prospective observational cohort study from a French intestinal stroke center. Multivariate analysis using a time-dependent Cox regression model. RESULTS: Between 2009 and 2015, 67 patients with AMI were included. ITIN occurred in 34% of patients and mortality was 13%. Oral antibiotics was independently associated with a decreased risk of ITIN (HR: 0.16 (95% CI = 0.03-0.62); p = 0.01). CONCLUSIONS: By decreasing luminal bacterial load and translocation, oral antibiotics in addition to early revascularization might reduce progression of AMI to ITIN.
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