title: Gut instinct.
abstract: Barriers to the use of selective digestive decontamination include concerns about emergence of resistant organisms, over-estimation of current performance in preventing ventilator-associated pneumonia (VAP), alternative methods of preventing VAP, and misunderstanding of mechanisms of action. A definitive cluster-randomised trial should be undertaken that incorporates practitioner concerns and effect-size preferences.
authors.forename: Julian
authors.initials: J
authors.lastname: Bion
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D003422:Critical Care / Q000379:methods*; D003428:Cross Infection / Q000517:prevention & control*; D003666:Decontamination; D024881:Drug Resistance, Bacterial; D041981:Gastrointestinal Tract / Q000187:drug effects / Q000382:microbiology*; D006801:Humans; D053717:Pneumonia, Ventilator-Associated / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents