2011, Number 3
<< Back
Rev Cub Med Int Emerg 2011; 10 (3)
Reasonable antimicrobial policy in intensive medicine
Pérez CV
Language: Spanish
References: 17
Page: 2225-2231
PDF size: 141.55 Kb.
ABSTRACT
Infections are one of the more important problems in the intensive medicine services as admission reason or as a complication during stay, being one of the major causes of
morbidity and mortality. Given this situation the trained intensive care staff must to be enough prepared with the knowledges as with the tools necessary for face such problem. With present paper we summarize the main features for a proper
antimicrobial policy.
REFERENCES
Palomar M, Rodríguez P, Nieto M, Sancho S. Prevención de la infección nosocomial en el paciente crítico. Med Intensiva. 2010; 34:523-33.
Leape LL. Reporting of adverse events. N Engl J Med. 2002; 347:1633–8.
Lin MY, Hayden MK. Methicillin-resistant Staphylococcus aureus and vancomycinresistant enterococcus: Recognition and prevention in intensive care units. Crit Care Med. 2010; 38 Suppl 8:335S-44S.
De Smet AM, Kluytmans JA, Cooper BS, et al. Decontamination of the digestive tract and oropharynx in ICU patients. N Engl J Med. 2009; 360:20-31.
Sánchez M. Pro descontaminación digestiva. Med Intensiva. 2010;34:325-33.
Vincent JL, Bihari DJ, Suter PM, et al. The prevalence of nosocomial infection in i5tensive care units in Europe. JAMA. 1995; 274:639-44.
Silvestri L, Monti Bragadin C, Milanese M, et al: Are most ICU infections really nosocomial? A prospective observational cohort study in mechanically ventilated patients. J Hosp Infect. 1999; 42:125-33.
Van Saene HK, Damjanovic V, Murray AE, de la Cal MA: How to classify infections in the intensive care units - the carrier state, a criterion whose time has come? J Hosp Infect. 1996; 33:1-12.
Fridkin SK, Steward CD, Edwards JR, et al: Surveillance of antimicrobial use and antimicrobial resistance in United States hospitals: Project ICARE phase 2. Project Intensive Care Antimicrobial Resistance Epidemiology (ICARE) hospitals. Clin Infect Dis. 1999; 29:245–52.
Ibrahim EH, Sherman G, Ward S, et al: The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting. Chest. 2000; 118:146–55.
Álvarez L, Alós JI, Blanquer J, et al. Guías para el manejo de la neumonía comunitaria del adulto que precisa ingreso en el hospital. Med Intensiva. 2005; 29:21-62.
Gandhi TN, DePestel DD, Collins CD, et al. Managing antimicrobial resistance in intensive care units. Crit Care Med. 2010; 38 Suppl 8:315S-23S.
American Thoracic Society, Infectious Diseases Society of America. Guidelines for the management of adults with hospital acquired, ventilator-associated, and healthcare- associated pneumonia. Am J Respir Crit Care Med. 2005; 171:388– 416.
Rello JL. Importance of appropriate initial antibiotic therapy and de-escalation in the treatment of nosocomial pneumonia. Eur Respir Rev. 2007; 16:33–9.
Niederman MS. De-escalation therapy in ventilator-associated pneumonia. Curr Opin Crit Care. 2006; 12:452-7.
Álvarez F, Sierra R, Álvarez L, Rodríguez Ó. Política de antibióticos en pacientes críticos. Med Intensiva. 2010; 34:600-8.
Grau S, Álvarez F, Domínguez A. Pharmacokinetic/pharmacodynamic indices: are we ready to use them in daily practice? Expert Rev Anti Infect Ther. 2007; 5:913- 6.