Systematic bacteriological monitoring of intensive care unit patients: The results of a twelve month study
Original Articles
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Abstract
The results from the bacteriological monitoring of 464 ITU patients are presented. The specimens analysed include urine, sputa, tracheostomy swabs, central venous pressure line catheter tips, blood cultures, wound drainage fluid, cerebro-spinal fluid, pleural fluid and peritoneal dialysate samples.
Guidelines which may be used to differentiate between colonisation and infection and factors, notably those related to antibiotic usage, which are associated with increased risk of infection are described.
Certain bacterial and fungal infections which are more peculiar to the compromised host are also discussed.
Key words
Colonisation or infection urine respiratory specimens wound specimens blood cultures CVP line antibiotic prophylaxis bacteriological monitoring compromised host ITUPreview
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References
- 1.Casewell, M.W., Webster, M., Dalton, M.T., Phillips, I.: Gentamicin resistantKlebsiella aerogenes in a urological ward. Lancet ii, 444 (1977)Google Scholar
- 2.Casewell, M.W., Phillips I.: Hands as a route of transmission for Klebsiella species. Br. Med. J.,2, 1315 (1977)PubMedGoogle Scholar
- 3.Coonrod, J.D.: Physical and immunologic properties of pneumococcal capsular polysaccharide produced during human infection. J. Immunol.112, (6), 2193 (1974)PubMedGoogle Scholar
- 4.Cowan, S.T., Steel, K.J.: Manual for the Identification of Medical Bacteria, 2nd edition. Cambridge: The University Press 1974.Google Scholar
- 5.Finegold, S.M., Rosenblatt, J.E., Sutter, V.L., Attebery, H.R.: Scope Monograph on Anaerobic Infections, 3rd edition. Michigan: The Upjohn Company 1976Google Scholar
- 6.Freeman, R.: Infection and intensive care. In: Selected Topics in Clinical Bacteriology. London: Bailliere Tindall 1976Google Scholar
- 7.Gaya, H.: Infection control in intensive care. Br. J. Anaesth.48, 9 (1977)Google Scholar
- 8.Ingham, H.R., Eaton, S., Venables, E.W., Adams, P.C.:Bacteroides fragilis resistant to metronidazole after long term therapy. Lancet i, 214 (1978)Google Scholar
- 9.Jackson, G.G.: Antibiotic policies, practices and pressures J. Antimicr. Chemother.5, 1 (1979)Google Scholar
- 10.Kaplan, M.H., Coons, A.H., Deane, H.W.: Localisation of antigen in tissue cells; cellular distribution of pneumococcal polysaccharides type II and III in mouse. J. Exp. Med.91, 15 (1950)PubMedGoogle Scholar
- 11.Mc.Neely, D.J., Kitchens, C.S., Kluge, R.M.: FatalNeisseria (Branhamella)catarrhalis pneumonia in an immunodeficient host. Am. Rev. Resp. Dis.114, 399 (1976)PubMedGoogle Scholar
- 12.Newsom, S.W.B.: Antibiotic prophylaxis for open heart surgery. J. Antimicr. Chemother.4, 389 (1978)Google Scholar
- 13.Ninane, G., Joly., Kraytman, M.,: Bronchopulmonary infection due toBranhamella catarrhalis: 11 cases assessed by transtracheal puncture. Br. Med. J.,1, 276 (1978)PubMedGoogle Scholar
- 14.Phillips, I., King, B.A., Shannon, K.P.: The mechanisms of resistance to aminoglycosides in the genus Pseudomonas. J. Antimicr. Chemother.4, 121 (1977)Google Scholar
- 15.Price, D.J.E., Sleigh, J.D.: Control of infection due toKlebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics. Lancetii, 1213 (1970)Google Scholar
- 16.Riser, E., Noone, P., Thompson, R.E.M.: The use of a fluorescence typing method in an epidemiological study of Klebsiella infection in a London hospital J. Hygiene80, 43 (1978)Google Scholar
- 17.Robertson, E.A., MacLowry, J.D.: Mathematical analysis of the API Enteric 20 Profile Register using a computer diagnostic model. Appl. Microbiol.28, 691 (1974)PubMedGoogle Scholar
- 18.Stokes, E.J.: in Clinical Bacteriology (p. 179), 3rd edition. London: Arnold 1974Google Scholar
- 19.Williams, D.M., Krick, J.A., Remington, J.S.: Pulmonary infection in the compromised host. Part I. Am Rev. Resp. Dis.114, 359 (1976)PubMedGoogle Scholar
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