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[Pharyngeal flora as a reference spectrum for infection pathogens in intensive care patients].

Differentiation according to species, phage type and enterocinogenotype shows that isolates of enterococci obtained from throat swabs and simultaneously from other localisations can mostly be considered as isotypical. However, it is also possible to demonstrate with other pathogens that there is an isotypicality between the spectra of other pathogens in the throat swab and in other pathological material including blood cultures, the agreement increasing with the severity of the disease. For example, in patients with multiple injuries 61% of the facultatively pathogenic opportunistic germs in the oropharynx correspond with the germs localised elsewhere; in septic patients, this agreement amounts to 96%. This means that especially with most severely ill patients the daily throat swab can yield early hints to the spectrum of pathogens responsible for an infection.