| Autor: |
Sarginson, R.E., Shankar, K.R., Viviani, M. |
| Zdroj: |
Current Anaesthesia and Critical Care; February 2001, Vol. 12 Issue: 1 p18-24, 7p |
| Abstrakt: |
Infections in intensive care unit (ICU) patients are discussed from the perspective of three recent studies performed in different critical care settings, namely a general/cardiac paediatric ICU, a mixed medical/surgical adult ICU and a neonatal surgical unit. Definitions are given for the diagnosis of infection in various body sites.The common infections, which occurred in these ICU patients, are described, with the main problems being in blood and lower airways. Infections are also classified epidemiologically and in terms of pathogenicity. All three studies used the concept of the carrier state to evaluate the epidemiology of the infections. The commonest cause of infection was with microorganisms carried by the patient on admission. Infections caused by organisms acquired after admission are of a lower magnitude but considerable importance. The value of surveillance cultures in classifying infections and in instituting treatment, isolation and prevention policies is illustrated by the findings of these studies. |
| Databáze: |
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