Infectious Diseases in Critical Care Medicine

Polymerase chain reaction (PCR)is very sensitive but requires significant technical expertise. However, a rapid detection metho ...

Oral vancomycin is not absorbed and the colonic levels are very high (500–1000mg/mL), several hundred-fold higher than the highe ...

treatment is oral vancomycin 500 mg four times daily and/or metronidazole 500 to 750 mg intravenously every eight hours. If the ...

recommended before serum lactate >5 (54). Total colectomy with end ileostomy is the procedure of choice. Select patients with ...

spores to develop into vegetative cells between doses, making them susceptible to killing by antibiotics. Patients requiring ant ...

moved to another room to avoid reinfection. Mandatory gloving and gowns before entering the room should be initiated. SinceC. di ...

Noren T, Akerlund T, Back E, et al. Molecular epidemiology of hospital-associated and community- acquired Clostridium difficile ...

Ticehurst JR, Aird DZ, Dam LM, et al. Effective detection of toxigenic Clostridium difficile by a two- step algorithm including ...

16 Urosepsis in Critical Care Burke A. Cunha Infectious Disease Division, Winthrop-University Hospital, Mineola, New York, and S ...

CLINICAL PRESENTATION OF UROSEPSIS The clinical presentation of urosepsis is not different from sepsis from a non-genitourinary ...

be available for some time, the Gram stain of the urine provides immediate microbiologic information regarding the likely cause ...

Nosocomial urosepsis follows recent urologic instrumentation usually<72 hours. The diagnosis should be considered when a pati ...

diagnostic and surgical drainage may be required. Epididymitis in elderly may occasionally present as urosepsis, and the usual p ...

REFERENCES Bahnson RR. Urosepsis. Urol Clin North Am 1986; 13:625–635. Meares EM Jr. Current pattens in nosocomial urinary trac ...

Paradisi F, Corti G, Mangani V. Urosepsis in the critical care unit. Crit Care Clin 1998; 1:165–180. Bjerklund Johansen TE, Cek ...

17 Severe Skin and Soft Tissue Infections in Critical Care Mamta Sharma and Louis D. Saravolatz Division of Infectious Disease, ...

viridans, andEnterococcusspp. can also be isolated.Acinetobacterspp. are found in 25% of the populations axillae, toe webs, groi ...

life-threatening infections with the majority requiring surgical intervention, such as NF, and are often admitted to intensive c ...

Erysipelas can spread rapidly if not treated promptly. Blood cultures are positive in only about 5% of cases (25). Treatment The ...

spread to adjacent structures may result in osteomyelitis. Cellulitis infrequently occurs as a result of bacteremia. Uncommonly, ...