Infection in the Immobile Host: A Practical Review for the Intensive Care Physician
Identifieur interne : 001561 ( Istex/Curation ); précédent : 001560; suivant : 001562Infection in the Immobile Host: A Practical Review for the Intensive Care Physician
Auteurs : Jeremy D. Gradon ; Carrie AdamsonSource :
- Journal of intensive care medicine [ 0885-0666 ] ; 1998.
Abstract
Immobility in the critically ill patient is a significant risk factor for infection, independent of the patient's underlying critical illness. Specific causes of infection related to immobility in the intensive care setting are explored. The pathogenesis, treatment, complications, and prevention of pressure ulcers, pneumonia, and urinary tract infections in the immobile patient are emphasized. Featured topics include the differentiation of colonization versus infection in pressure ulcers and the urinary tract, the significance and optimal treatment of positive fungal cultures, as well as a rational clinical approach to the immobile patient with a fever and no obvious source of infection. The clinical relevance of anaerobic infections in this population is emphasized because it influences empiric antibiotic therapy and differential diagnosis.
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DOI: 10.1177/088506669801300305
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Jeremy D. Gradon<affiliation><mods:affiliation></mods:affiliation>
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<affiliation><mods:affiliation>* Division of Infectious Diseases, Sinai Hospital of Baltimore, Baltimore, MD.</mods:affiliation>
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<affiliation><mods:affiliation>* Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD.</mods:affiliation>
<wicri:noCountry code="subField">MD.</wicri:noCountry>
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<affiliation><mods:affiliation>* Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD.</mods:affiliation>
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<affiliation><mods:affiliation>* Division of Infectious Diseases, Sinai Hospital of Baltimore, Baltimore, MD.</mods:affiliation>
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<affiliation><mods:affiliation>* Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD.</mods:affiliation>
<wicri:noCountry code="subField">MD.</wicri:noCountry>
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<affiliation><mods:affiliation>* Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD.</mods:affiliation>
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<front><div type="abstract">Immobility in the critically ill patient is a significant risk factor for infection, independent of the patient's underlying critical illness. Specific causes of infection related to immobility in the intensive care setting are explored. The pathogenesis, treatment, complications, and prevention of pressure ulcers, pneumonia, and urinary tract infections in the immobile patient are emphasized. Featured topics include the differentiation of colonization versus infection in pressure ulcers and the urinary tract, the significance and optimal treatment of positive fungal cultures, as well as a rational clinical approach to the immobile patient with a fever and no obvious source of infection. The clinical relevance of anaerobic infections in this population is emphasized because it influences empiric antibiotic therapy and differential diagnosis.</div>
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