Advertisement

Evaluation and Management of Hospital Infections

  • Ralph Van Furth

Part of the New Perspectives in Clinical Microbiology book series (NPCM, volume 5)

Table of contents

  1. Front Matter
    Pages I-XII
  2. R. Van Furth
    Pages 1-6
  3. D. R. Schaberg
    Pages 7-12
  4. B. Van Klingeren
    Pages 13-16
  5. B. Van Klingeren
    Pages 17-19
  6. M. F. Michel
    Pages 34-36
  7. C. W. R. Phaf
    Pages 56-57
  8. R. P. Mouton
    Pages 82-84
  9. D. Van Der Waaij
    Pages 128-130
  10. R. K. J. Koumans
    Pages 155-159
  11. L. S. Young
    Pages 160-172
  12. J. W. M. Van Der Meer, W. E. Fibbe, P. J. Van Den Broek
    Pages 173-177
  13. J. W. M. Van Der Meer
    Pages 178-179
  14. J. J. Roord, R. Ch. Senders, A. Fleer
    Pages 200-205
  15. J. J. Roord
    Pages 206-208
  16. Nina E. Tolkoff-Rubin, R. H. Rubin
    Pages 209-221
  17. J. P. Van Hooff
    Pages 226-229
  18. J. I. Hudson
    Pages 249-250

About this book

Introduction

R. VANFURTH Infection is an inseparable part of communal life, and infections are more common and more severe in hospital communi­ ties because the sick are more easily infected than the healthy. However, even though progress in the medical sciences has meant that many more patients suftering from relatively severe diseases can be helped at present, the use of more sophisticated and complex treatment leads to impairment of the defence mechanisms in more patients than was the case ten to twenty years ago, and these patients are also more prone to develop an infection. Two questions are particularly relevant in this context. 1) Under what conditions do hospital infections occur? Defects of host defence mechanisms are of great importance in this respect. Such defects can be due to the disease or to the treatment given to the patient. 2) Which of the host defence mechanisms can be affected by a stay in the hospital? Among the factors involved in the host defence against infections (Table I), a number are especially important in this respect. For instance, venepuncture, indwelling catheters, and surgery all cause a breach in the surface structures. Anaesthesia causes temporary impairment of mechanical factors. Vascularization may be defective -- especial­ ly in the aged and patients with diabetes mellitus -- and this may complicate the healing of wounds in the skin and mucous membranes after surgery.

Keywords

antibiotic bacteria infection sepsis

Editors and affiliations

  • Ralph Van Furth
    • 1
  1. 1.Department of Infectious DiseasesUniversity HospitalLeidenThe Netherlands

Bibliographic information

  • DOI https://doi.org/10.1007/978-94-009-7657-3
  • Copyright Information Springer Science+Business Media B.V. 1982
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-009-7659-7
  • Online ISBN 978-94-009-7657-3
  • Buy this book on publisher's site