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
相关论文
共 50 条
  • [31] Candida bloodstream infections in intensive care units: Analysis of the extended prevalence of infection in intensive care unit study
    Kett, Daniel H.
    Azoulay, Elie
    Echeverria, Pablo M.
    Vincent, Jean-Louis
    CRITICAL CARE MEDICINE, 2011, 39 (04) : 665 - 670
  • [32] Sustained Reduction in Bloodstream Infections in Infants at a Large Tertiary Care Neonatal Intensive Care Unit
    Neill, Sara
    Haithcock, Sarah
    Smith, P. Brian
    Goldberg, Ronald
    Bidegain, Margarita
    Tanaka, David
    Carriker, Charlene
    Ericson, Jessica E.
    ADVANCES IN NEONATAL CARE, 2016, 16 (01) : 52 - 59
  • [33] Risk Factors for Health Care-Associated Bloodstream Infections in a Neonatal Intensive Care Unit
    Ertugrul, Sabahattin
    Aktar, Fesih
    Yolbas, Ilyas
    Yilmaz, Ahmet
    Elbey, Bilal
    Yildirim, Ahmet
    Yilmaz, Kamil
    Tekin, Recep
    IRANIAN JOURNAL OF PEDIATRICS, 2016, 26 (05)
  • [34] Central line-associated bloodstream infections in the intensive care unit: importance of the care bundle
    Atilla, Aynur
    Doganay, Zahide
    Celik, Hale Kefeli
    Tomak, Leman
    Gunal, Ozgur
    Kilic, S. Sirri
    KOREAN JOURNAL OF ANESTHESIOLOGY, 2016, 69 (06) : 599 - 603
  • [35] Combatting Central Catheter-Associated Bloodstream Infections in the Pediatric Intensive Care Unit
    Brouder, Pam
    CRITICAL CARE NURSE, 2015, 35 (02) : E54 - E55
  • [36] Simple intervention in the intensive care unit decreases catheter-related bloodstream infections
    不详
    SURGICAL NEUROLOGY, 2007, 67 (03): : 219 - 219
  • [37] Intensive-care-unit-acquired bloodstream infections in a regional critically ill population
    Laupland, KB
    Kirkpatrick, AW
    Church, DL
    Ross, T
    Gregson, DB
    JOURNAL OF HOSPITAL INFECTION, 2004, 58 (02) : 137 - 145
  • [38] Prevalence of Multidrug-Resistant Pathogens Causing Bloodstream Infections in an Intensive Care Unit
    Golli, Andreea-Loredana
    Cristea, Oana Mariana
    Zlatian, Ovidiu
    Glodeanu, Adina-Dorina
    Balasoiu, Andrei Theodor
    Ionescu, Mihaela
    Popa, Simona
    INFECTION AND DRUG RESISTANCE, 2022, 15 : 5981 - 5992
  • [39] Effectiveness of an informative report on the prevention of nosocomial bloodstream infections in a neonatal intensive care unit
    Leboucher, B.
    Leblanc, M.
    Berlie, I.
    Savagner, C.
    Lemarie, C.
    Le Bouedec, S.
    ARCHIVES DE PEDIATRIE, 2006, 13 (05): : 436 - 441
  • [40] Mortality, length of stay, bloodstream and respiratory viral infections in a pediatric intensive care unit
    Hon, Kam Lun
    Luk, Man Ping
    Fung, Wing Ming
    Li, Cho Ying
    Yeung, Hiu Lee
    Liu, Pui Kwun
    Li, Shun
    Tsang, Kathy Yin Ching
    Li, Chi Kong
    Chan, Paul Kay Sheung
    Cheung, Kam Lau
    Leung, Ting Fan
    Koh, Pei Lin
    JOURNAL OF CRITICAL CARE, 2017, 38 : 57 - 61