Prevention of infection in the intensive care unit: current advances and opportunities for the future
- 1 October 2002
- journal article
- review article
- Published by Wolters Kluwer Health in Current Opinion in Critical Care
- Vol. 8 (5) , 461-464
- https://doi.org/10.1097/00075198-200210000-00015
Abstract
Recent studies have contributed to our understanding of the risk factors and the impact of nosocomial infections in the ICU, allowing a more rational approach to the prevention of such infections. Ventilator-associated pneumonia, bloodstream infections, and outbreaks all occur in the presence of artificial devices. High antibiotic pressure, prolonged hospitalization, and the presence of comorbidities facilitate the selection of multiresistant strains in the ICU setting. In clinical practice, prevention is the more effective investment to reduce costs. Potential measures of control should focus on the patient, the microorganisms, and the device. A number of recent studies addressing these issues have been published and will be reviewed in this article.Keywords
This publication has 28 references indexed in Scilit:
- Infection Control in the ICUChest, 2001
- Development and Validation of a Multifactorial Risk Index for Predicting Postoperative Pneumonia after Major Noncardiac SurgeryAnnals of Internal Medicine, 2001
- The Occurrence of Ventilator-Associated Pneumonia in a Community HospitalChest, 2001
- Relationship Between Methodological Trial Quality and the Effects of Selective Digestive Decontamination on Pneumonia and Mortality in Critically Ill PatientsJAMA, 2001
- Risk factors for nosocomial intensive care infection: a long‐term prospective analysisActa Anaesthesiologica Scandinavica, 2001
- Impact of a rotating empiric antibiotic schedule on infectious mortality in an intensive care unitCritical Care Medicine, 2001
- Nosocomial Infections and Outcome of Critically Ill Elderly Patients after SurgeryAnesthesiology, 2001
- Risk factors for nosocomial pneumonia in critically ill trauma patientsCritical Care Medicine, 2001
- Early risk factors for sepsis in patients with severe blunt traumaInjury, 2001
- Risk Factors and Outcome of Nosocomial Infections: Results of a Matched Case-control Study of ICU PatientsAmerican Journal of Respiratory and Critical Care Medicine, 1998