Microbial Colonization
Conditions
Brief summary
Role of immunonutrition in modulating the lung microbiota of intubated TBJ patients and how this interaction may affect the infections and outcomes. For these reasons, the aims of our study are the evaluation of the impact of immunonutrition on the lung microbiota and the relationship between lung microbiota and infection in TBJ patients in ICU.
Detailed description
Traumatic brain injury patients, requiring mechanical ventilation admitted to ICU will be randomly divide in two groups receiving standard nutrition or specialized formula. Lower lavage (Bronco Alveolar Lavage: BAL) samples will be collected at admission in ICU and at day 7 for the microbiota analysis. Clinical follow-up at day 28 will be obtained
Interventions
standard enteral nutrition. The calories (25 kcal/kg/die) and protein (1.2 g/kg/die) target will be progressively reached in the first week of ICU stay.
specialized enteral nutrition. The calories (25 kcal/kg/die) and protein (1.2 g/kg/die) target will be progressively reached in the first week of ICU stay.
Sponsors
Study design
Masking description
specialized nutrition and microbiota analysis
Intervention model description
specialized nutrition group
Eligibility
Inclusion criteria
* adults (age \> 18 years), * paziente with traumatic brain injury
Exclusion criteria
* pregnant women, * patients with gastric content inhalation * patients with chronic inflammatory bowel diseases * patients underwent major abdominal surgery and/or organs/tissues transplant * patients on corticosteroid and/or immunosuppressive therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| infection | pulmonary infection within 28 days | pulmonary infection in mechanically ventilated patients |
Countries
Italy