Bloodstream infections in the Intensive Care Unit

被引:69
|
作者
Bassetti, Matteo [1 ,2 ]
Righi, Elda [1 ,2 ]
Carnelutti, Alessia [1 ,2 ]
机构
[1] Santa Maria Misericordia Hosp, Infect Dis Div, Udine, Italy
[2] Azienda Osped Univ Santa Maria Misericordia, Clin Malattie Infett, Udine, Italy
关键词
antimicrobial resistance; bloodstream infections; central venous catheter; combination therapy; daptomycin; de-escalation; empiric therapy; intensive care unit; RESISTANT STAPHYLOCOCCUS-AUREUS; CRITICALLY-ILL PATIENTS; VENTILATOR-ASSOCIATED PNEUMONIA; MINIMUM INHIBITORY CONCENTRATION; ESCMID-ASTERISK GUIDELINE; GRAM-NEGATIVE BACILLI; KLEBSIELLA-PNEUMONIAE; SEVERE SEPSIS; RISK-FACTORS; PSEUDOMONAS-AERUGINOSA;
D O I
10.1080/21505594.2015.1134072
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Bloodstream infections (BSIs) represent a common complication among critically ill patients and a leading cause of morbidity and mortality. The prompt initiation of an effective antibiotic therapy is necessary in order to reduce mortality and to improve clinical outcomes. However, the choice of the empiric antibiotic regimen is often challenging, due to the worldwide spread of multi-drug resistant (MDR) organisms with reduced susceptibility to the available broad-spectrum antimicrobials. New therapeutic strategies are 5 to improve the effectiveness of antibiotic treatment while minimizing the risk of resistance selection.
引用
收藏
页码:267 / 279
页数:13
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