Probiotics Use in Hospital-Acquired Infections Among Trauma Patients

Location

LSU Health Sciences Center - New Orleans

Event Website

https://www.medschool.lsuhsc.edu/genetics/2023_medical_student_research_poster_symposium.aspx

Presentation Date

23-10-2023 8:29 AM

Description

Introduction: Trauma patients are at a high risk for hospital-acquired infections (HAIs) such as ventilator associated pneumonia (VAP), surgery site infections (SSIs), and Clostridium difficile colitis. Probiotics, known for their ability to mitigate gut dysbiosis through restoration of immune responses, are often administered alongside antibiotics. However, some studies have shown that daily administration of probiotics does not improve hospital outcomes in critically ill patients. The aim of this study was to examine the association between HAIs and probiotics use in trauma patients receiving probiotics during their hospital stay. Methods: This retrospective study analyzed data from adult trauma patients who presented to a Level 1 trauma center between January 2015 and June 2023. Patient cohorts were divided into the probiotics (PRO) cohort, composed of patients who received probiotics during their hospital stay, and the control (NO-PRO) cohort, composed of patients who did not receive probiotics. The primary outcome was incidence of HAI. Secondary outcomes included time to first dose of probiotics from admission, incidence of in-hospital mortality, hospital length of stay, and incidence of diarrhea. Univariate analyses were performed with p0.05). Development of one or more HAIs was significantly higher in the PRO cohort (57%) than in the NO-PRO cohort (35%, p=0.017). Development of hospital-acquired UTIs (29% vs. 5%, p

Comments

Mentor: Dr. Alison Smith LSUHSC, Department of Surgery, Division of Trauma/Critical Care Surgery; University Medical Center New Orleans

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Oct 23rd, 8:29 AM

Probiotics Use in Hospital-Acquired Infections Among Trauma Patients

LSU Health Sciences Center - New Orleans

Introduction: Trauma patients are at a high risk for hospital-acquired infections (HAIs) such as ventilator associated pneumonia (VAP), surgery site infections (SSIs), and Clostridium difficile colitis. Probiotics, known for their ability to mitigate gut dysbiosis through restoration of immune responses, are often administered alongside antibiotics. However, some studies have shown that daily administration of probiotics does not improve hospital outcomes in critically ill patients. The aim of this study was to examine the association between HAIs and probiotics use in trauma patients receiving probiotics during their hospital stay. Methods: This retrospective study analyzed data from adult trauma patients who presented to a Level 1 trauma center between January 2015 and June 2023. Patient cohorts were divided into the probiotics (PRO) cohort, composed of patients who received probiotics during their hospital stay, and the control (NO-PRO) cohort, composed of patients who did not receive probiotics. The primary outcome was incidence of HAI. Secondary outcomes included time to first dose of probiotics from admission, incidence of in-hospital mortality, hospital length of stay, and incidence of diarrhea. Univariate analyses were performed with p0.05). Development of one or more HAIs was significantly higher in the PRO cohort (57%) than in the NO-PRO cohort (35%, p=0.017). Development of hospital-acquired UTIs (29% vs. 5%, p

https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/89