Selective decontamination of the digestive tract (SDD) : current guidelines / Hans Rommes, Rick van Saene, Miguel A. de la Cal.

Format:

Book

Author/Creator:

Rommes, Hans, author.

Van Saene, H. K. F. (Hendrik K. F.), author.

Cal, Miguel A. de la, author.

Language:

English

Subjects (All):

Digestive organs--Infections--Prevention.

Digestive organs.

Infection--Prevention.

Infection.

Critical care medicine.

Internal medicine.

Nursing.

Microbiology.

Genre:

Electronic books.

Physical Description:

1 online resource (304 pages)

Place of Publication:

Cham : Springer, [2021]

System Details:

text file

Summary:

This book explains the basic concepts of Selective Decontamination of the Digestive tract (SDD) to help those involved in treating critically ill patients to improve outcomes and the quality of care. SDD has led to major changes in our understanding, the treatment and prevention of infections in critically ill patients over the past 40 years. It is the most studied intervention in intensive care medicine and is the subject of 73 randomized controlled trials, including over 15000 patients and 15 meta-analyses. SDD reduces morbidity and mortality, is cost-effective and safe as SDD does not increase antimicrobial resistance. Correct application of the SDD strategy enables ICU teams to control infections - even in ICUs with endemic antibiotic resistant microorganisms such as methicillin resistant S. aureus (MRSA). Describing the concept and application of SDD, and presenting case studies and microbiological flow charts, this practical guide will appeal to intensivists, critical care practitioners, junior doctors, microbiologists and ICU-nurses as well as infection control specialists and pharmacists. .

Contents:

Part I. The basics

Introduction

Microorganisms

Defense

Infections

Infection control

Enteral and parenteral antimicrobials used in the SDD-policy

Part II. Clinical microbiology for the ICU team

Clinical microbiology: an overview

Surveillance versus diagnostic cultures

Sampling and microscopy

Inoculation and culturing

Naming of microorganisms

Antibiotic sensitivity testing

Availability of the clinical microbiological results for the intensivist

Part III. Therapeutics

Therapy of bacterial and fungal infections

Viral infections in the ICU

Inflammation and hyperinflammation

Part IV. Surveillance

Resistance

Outbreaks

Appendix

Appendix 1. General principles before implementing the SDD-strategy

Appendix 2. Selective decontamination of the digestive tract

Appendix 3. SDD in Methicillin-resistant S. aureus (MRSA)

Appendix 4. SDD in Multidrug-resistant Gram-negative bacteria (MDRGNB).

Notes:

Includes bibliographical references and index.

Description based upon print version of record.

Other Format:

Print version: Rommes, Hans Selective Decontamination of the Digestive Tract (SDD) : Current Guidelines

ISBN:

9783030652258

3030652254

OCLC:

1241450423

Access Restriction:

Restricted for use by site license.