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Titlebook: Infection Control in the Intensive Care Unit; Hendrick K.F. Saene,Luciano Silvestri,Antonino Gul Book 2012Latest edition Springer-Verlag I

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楼主: Garfield
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Classification of ICU Infectionshave been accepted to distinguish community- from hospital-acquired infections, including ICU-acquired infections. However, many clinicians appreciate that an infection due to a microorganism carried by the patient on admission to the ICU and that develops 48 h of ICU stay cannot be considered as be
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Gut Microbiology: Surveillance Samples for Detecting the Abnormal Carrier State in Overgrowth microbiological approach of culturing diagnostic samples can never detect overgrowth, as these samples only confirm the clinical diagnosis of infection. Surveillance samples of throat and gut are the only samples that allow overgrowth detection. Gut overgrowth harms the critically ill in four ways:
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Systemic Antibioticsibiotics available for systemic administration in the critically ill septic patient. Pharmacological properties and microbiological factors, together with specific alterations in the critically ill patient, affect antimicrobial administration regimen in the intensive care unit and contribute to the
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Systemic Antifungalse care unit (ICU). There has been much debate on how best to use systemic antifungals in this setting, with the focus on prophylaxis, empirical, pre-emptive and definitive therapy. New agents have been added to the armamentarium and are concentrated on in this chapter. These agents include posaconaz
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Enteral Antimicrobialser evaluated intervention in intensive care medicine for reducing infectious morbidity and mortality. It is inexpensive and without side effects in terms resistance emergence. In intensive care units (ICUs) using enteral antimicrobials, gut carriage of potential pathogens, both sensitive and resista
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Outbreaks of Infection in the ICU: What’s up at the Beginning of the Twenty-First Century? are the two known to cause outbreaks. Secondary endogenous infections can be controlled by enterally administered antimicrobials and should be integrated into the routine infection control measures. Exogenous infections can be controlled by topically applied antimicrobials and hygiene.
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Preventing Infection Using Selective Decontamination of the Digestive Tractn critically ill patients. The purpose of SDD is to prevent—or eradicate if initially present—the oropharyngeal and intestinal abnormal carrier state of potentially pathogenic microorganisms, mainly aerobic Gram-negative microorganisms, but also methicillin-sensitive . (MSSA), and yeasts, leaving th
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