Abstract

MENA MIRANDA, Vivian R.; RIVERON CORTEGUERA, Raúl L.  and  PEREZ CRUZ, José A.. Traslocación bacteriana: un problema para reflexionar. Rev Cubana Pediatr [online]. 1996, vol.68, n.1, pp. 50-56. ISSN 1561-3119.

Bacterial translocation is the passage of the bacterias and their products through the gastrointestinal mucosa. This helps to explain the evident paradox between non localizing a septic focus and/or a multiple organ failure. It occurs when the protective physiological mechanisms are interrupted against translocation by the decreased mesenteric blood flow, or by the alteration of the intestinal structure and function due to several causes, and associated with an alteration of the patient's immune response. At the present time, the grade of splanchnic ischemia is evaluated through the tonometrical monitoring of the gastric pH that acts as a predictive parameter in evaluating the critical patient.

Keywords : BACTERIA [physiology]; INTESTINAL MUCOSA [microbiology]; SEPTICEMIA; MULTIPLE ORGAN FAILURE; SPLANCHNIC CIRCULATION.