Infection Control in the ICU EnvironmentRobert A. Weinstein, Marc Bonten Infection Control in the ICU Environment provides the details of the most common infection control problems facing intensive care units. Authors include noted scientists, intensivists and epidemiologists from the United States and Europe as well as infection control experts from the Centers for Disease Control and Prevention. Acinetobacter, methicillin resistant staphylococcus aureus and vancomycin resistant enterococci are examined in detail. This volume also includes cutting edge information regarding the potential for prophylactic and pre-emptive therapy of fungal infections in intensive care units. Innovations in vascular catheter care and prevention of bloodstream infections are discussed in this volume as well as the newest information in mathematical modeling to understand the epidemiology and control of infections in intensive care units. |
Contents
Scope and Magnitude of Nosocomial ICU Infections | 1 |
Scope xand Magnitude of Nosocomial ICU Infections | 17 |
VancomycinResistant Enterococci A Threat for the ICU? | 35 |
VancomycinResistant Enterococci in Europe A Changing Epidemiology Epidemiology? | 51 |
MethicillinResistant Staphylococcus Aureus Is Control Necessary? | 59 |
Acinetobacter Epidemiology and Control | 69 |
Acinetobacter Epidemiology and Control | 79 |
Fungal Infections The Role of Prophylactic and Empiric Antifungal Therapy in ICU Patients | 95 |
Is Prevention of VentilatorAssociated Pneumonia Cost Effective? | 143 |
VentilatorAssociated Pneumonia Is Prevention Cost Effective? | 157 |
CrossColonization in Intensive Care Units Fact or Fiction? | 171 |
CrossColonization Fact or Fiction? | 183 |
Conventional Infection Control Measures Value or Ritual? | 197 |
Conventional Infection Control Measures Value or Ritual? | 215 |
Modeling of Antibiotic Resistance in the ICU | 233 |
Mathematical Models in the ICU Dynamics Infection Control and Antibiotic Resistance | 247 |
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Common terms and phrases
Acinetobacter baumannii acquisition admission albicans Ann Intern antibiotic resistance antibiotic-resistant antifungal associated bacteremia barrier precautions Candida sp catheter-related bloodstream infection catheter-related infection central venous catheters chlorhexidine Clin Infect Clin Microbiol clinical cohorting colonisation colonized patients colonized with VRE contamination Control Hosp Epidemiol cross-colonization cross-transmission cultures decontamination decrease disease disinfection drug effect efficacy endemic endogenous Enterococcus faecium environmental epidemic Epidemiology flora fluconazole fungal infections gloves gram-negative hand handwash compliance healthcare workers Hosp Infect hospital ICU ENVIRONMENT ICU patients ICU setting incidence increased Infect Control Hosp infection control measures infection rates intensive care unit intravascular invasive isolates mechanical ventilation methicillin-resistant Staphylococcus aureus mortality MRSA neonatal nosocomial infections nosocomial pneumonia organisms outbreak pediatric Pfaller prevalence prevention Pseudomonas aeruginosa randomized reduce reproductive number risk factors skin species spread strains surgical surveillance susceptible therapy tion transmission vancomycin vancomycin-resistant enterococci ventilator-associated pneumonia washing Weinstein RA Wenzel RP