Fever and infections in surgical intensive care: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document.

Autor:	Nohra E; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., Appelbaum RD; Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Farrell MS; Department of Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA., Carver T; Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Jung HS; Department of Surgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA., Kirsch JM; Department of Surgery, Westchester Medical Center/ New York Medical College, Valhalla, NY, USA., Kodadek LM; Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA., Mandell S; Department of Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas, USA., Nassar AK; Department of Surgery, Section of Acute Care Surgery, Stanford University, Stanford, California, USA., Pathak A; Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania, USA., Paul J; Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA., Robinson B; Department of Surgery, Harborview Medical Center, Seattle, Washington, USA., Cuschieri J; Department of Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA., Stein DM; Department of Surgery, University of Maryland Baltimore, Baltimore, Maryland, USA.
Jazyk:	angličtina
Zdroj:	Trauma surgery & acute care open [Trauma Surg Acute Care Open] 2024 Jun 03; Vol. 9 (1), pp. e001303. Date of Electronic Publication: 2024 Jun 03 (Print Publication: 2024).
DOI:	10.1136/tsaco-2023-001303
Abstrakt:	The evaluation and workup of fever and the use of antibiotics to treat infections is part of daily practice in the surgical intensive care unit (ICU). Fever can be infectious or non-infectious; it is important to distinguish between the two entities wherever possible. The evidence is growing for shortening the duration of antibiotic treatment of common infections. The purpose of this clinical consensus document, created by the American Association for the Surgery of Trauma Critical Care Committee, is to synthesize the available evidence, and to provide practical recommendations. We discuss the evaluation of fever, the indications to obtain cultures including urine, blood, and respiratory specimens for diagnosis of infections, the use of procalcitonin, and the decision to initiate empiric antibiotics. We then describe the treatment of common infections, specifically ventilator-associated pneumonia, catheter-associated urinary infection, catheter-related bloodstream infection, bacteremia, surgical site infection, intra-abdominal infection, ventriculitis, and necrotizing soft tissue infection. Competing Interests: Competing interests: TC reports: Innovital—funding paid to my institution related to research performed; Cytovale—direct payments to me for research-related medical monitoring. SM reports: UpToDate—Author Royalty; AHRQ grant funding, but not related to this topic. LK reports: Eastern Association for the Surgery of Trauma Vice Chair Guidelines Committee; American Association for the Surgery of Trauma Palliative Care Committee, American Association for the Surgery of Trauma Critical Care Committee, American College of Surgeons Geriatric Surgery Verification Standards and Verification Committee, Journal of Surgical Research Editorial Board Member. DMS reports: grant funding from PCORI, DoD, NIH, NHTSA and consultant fees—CSL Behring. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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