Chapter

Infection and antibiotic management

Jeffrey A. Claridge and Aman Banerjee

in Trauma Intensive Care

Published on behalf of Oxford University Press

Published in print May 2013 | ISBN: 9780199777709
Published online September 2013 | e-ISBN: 9780199353057 | DOI: https://dx.doi.org/10.1093/med/9780199777709.003.0018

Series: Pittsburgh Critical Care Medicine

Infection and antibiotic management

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Nosocomial infections are a major patient safety issue in the ICU. They causesignificant increases in patient morbidity and mortality, as well as increase medicalexpenses. Trauma patients often sustain multiple injuries—any of which canlead to infection. Critically ill trauma patients have a higher risk of infectioncompared to other surgical ICU cohorts. Trauma patientshave higher rates of emergency procedures such as intubation, central venouscatheterization, and tube thoracostomy, where the use of sterile techniquemight not be absolute. Trauma and blood transfusion may also be associatedwith immunosuppression. Additionally, trauma ICU device utilization rates areamong the highest when compared to other ICU types.

Chapter.  4279 words. 

Subjects: Critical Care ; Trauma and Orthopaedic Surgery ; Medical Microbiology and Virology

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