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Chapter 28 - An Infectious Diseases Consult in the Neurocritical Care Unit

Published online by Cambridge University Press:  24 July 2019

By
Michael Frank  and
Mary Beth Graham
Edited by
Michel T. Torbey
Michel T. Torbey
Affiliation:
Ohio State University
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Summary

Intensive care unit (ICU) patients represent 5–10% of all hospitalized patients, yet the incidence of infections in this patient population is 5- to 10-fold higher than in general hospital wards and some studies estimate that up to 25% of all nosocomial infections occur in the ICU setting [1,2]. The majority of infections in critically ill patients are related to device utilization, including catheter-related urinary tract infections (UTIs), ventilator-associated pneumonia (VAP), and catheter-related bloodstream infections. Many studies have shown that these nosocomial infections not only increase morbidity and mortality, but also add significantly to the cost and duration of hospitalization [3,4]. In this chapter we review the workup of fever in the ICU, management of common infections encountered in the ICU, and infection control guidelines to prevent the spread of nosocomial infections among patients and caregivers.

Type
Chapter
Information
Neurocritical Care , pp. 351 - 358
Publisher: Cambridge University Press
Print publication year: 2019

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