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Selective Decontamination of the Digestive Tract (SDD)

Current Guidelines

  • Book
  • © 2021

Overview

  • Explains the concept of Selective Decontamination of the Digestive tract (SDD)

  • Enables readers to improve outcomes and the quality of care on ICUs

  • Presents an evidence-based infection control and antimicrobial policy

  • Provides a rational stepwise approach to the treatment of infections

  • Includes a detailed description of the four component SDD strategy, including cases studies and flow charts

  • Discusses correct application of the strategy and provides tip and tricks

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Table of contents (18 chapters)

  1. The Basics

  2. Clinical Microbiology for the ICU Team

  3. Therapeutics

Keywords

About this book

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.  


Authors and Affiliations

  • Apeldoorn, The Netherlands

    Hans Rommes

  • Department of Clinical Microbiology, University Liverpool, Liverpool, UK

    Rick van Saene

  • Department of Intensive Care Medicine, Hospital de Getafe, Getafe, Spain

    Miguel A. de la Cal

About the authors

Hans Rommes studied medicine at Utrecht University in the Netherlands. He was the Director of the Respiratory Intensive Care Unit at the University Hospital Groningen, and the Director of the Intensive Care Unit at Gelre Ziekenhuizen Apeldoorn. He has also served as a lecturer at the Antonius Hospital Nieuwegein and at the Amsterdam University Hospital, and as a member of the editorial boards of various publications. He has authored over 70 papers in international journals and books.

 Rick van Saene studied medicine at the University of Leuven (Belgium), and was awarded a M.D. in 1973.  He trained and qualified as a medical microbiologist at the University of Groningen (The Netherlands) in 1977.  His research into the role of Escherichia coli in inflammatory bowel disease led to a Ph.D. in 1982 and in the same year, together with colleagues, he initiated a major clinical project entitled ‘Infection prevention in the severely traumatized patient’.  In 1987 he was appointed as a senior lecturer in Medical Microbiology at the University of Liverpool (U.K.) and consultant microbiologist at the Royal Liverpool Children’s NHS Trust (Alder Hey Hospital). He has been awarded various European research prizes, fellowship of the Royal College of Pathologists, and received merit awards for his infection prevention work using SDD. He is the author and/or co-author of more than 300 publications and books on infection control and SDD.

Miguel A. de la Cal, was Deputy Director of the Critical Care Medicine Department at the Red Cross Hospital (Madrid), General Director of Public Health, Spanish Ministry of Health,and Director of the Critical Care Medicine Department Hospital Universitario de Getafe (Madrid). He is the former Editor-in-Chief of Medicina Intensiva – the journal of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICIUC), co-editor of the book “Infection Control in the Intensive Care Unit”, , and co-author of over 100 international publications.

 


Bibliographic Information

  • Book Title: Selective Decontamination of the Digestive Tract (SDD)

  • Book Subtitle: Current Guidelines

  • Authors: Hans Rommes, Rick van Saene, Miguel A. de la Cal

  • DOI: https://doi.org/10.1007/978-3-030-65225-8

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2021

  • Hardcover ISBN: 978-3-030-65224-1Published: 09 March 2021

  • Softcover ISBN: 978-3-030-65227-2Published: 09 March 2022

  • eBook ISBN: 978-3-030-65225-8Published: 08 March 2021

  • Edition Number: 1

  • Number of Pages: XXXI, 289

  • Number of Illustrations: 27 b/w illustrations, 18 illustrations in colour

  • Topics: Intensive / Critical Care Medicine, Internal Medicine, Nursing, Microbiology

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