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Advanced ENT Surgery clinical trials

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NCT ID: NCT01730066 Completed - Clinical trials for Microbiological Flora in the Oropharynx and Lower Airways

Probiotics Against Pathogenic Bacteria in Advanced ENT-Surgery

Start date: October 2012
Phase: N/A
Study type: Interventional

Surgery in the mouth and oropharynx is performed in an area colonised by bacteria non-pathogenic and pathogenic. Antibiotics are used regularly resulting in disturbances in the intestinal microbiological flora and consequently diarrhoea that can be troublesome. The use of antibiotics throughout the hospital stay for these difficult cases represent a risk of development of resistant strains. Most of the patients have cancer diagnoses and have radiation therapy before surgery. This increases the risk of the patients having pathogenic bacteria normally present in the lower GI-tract. The investigators have shown for ICU patients that treatment with probiotics reduces the number of emerging enteral bacteria in the oropharynx and now the investigators will perform an adjusted procedure for patients planned for large ear, nose, and throat (ENT) surgery. Patients will preoperatively gurgle a suspension of probiotics and then swallow the preparation. Postoperatively the probiotics is given enterally and a eventually by mouth again. Cultures will be taken from the oropharynx and tracheal secretions and the results will be compared