Advertisement

Intensivmedizinisch relevante Infektionskrankheiten

  • Sebastian Lemmen
  • Karl Lewalter
  • Wolfgang Krüger
Living reference work entry

Latest version View entry history

Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Zu den intensivmedizinisch relevanten Infektionskrankheiten gehören häufige Erkrankungen wie die Pneumonie, Harnwegsinfektionen oder zentralvenöse Katheterinfektionen. Je nach Ausrichtung der Intensivstation treten auch Peritonitiden oder Meningitiden bzw. Hirnabszesse häufig auf. Zu den selteneren Infektionen gehört der Gasbrand. Die intensivmedizinisch relevanten Infektionskrankheiten werden erörtert, wobei ein besonderer Fokus auf der Therapie liegt.

Literatur

  1. 1.
    Bodmann KF, Grabein B und die Expertenkommission der Paul-Ehrlich-Gesellschaft für Chemotherapie e.V. (2010) Empfehlungen zur kalkulierten parenteralen Initialtherapie bakterieller Erkrankungen bei Erwachsenen – Update 2010. ISBN 978-3-00-031623-4. www.p-e-g.org
  2. 2.
    Bundesgesundheitsblatt Prävention der nosokomialen Pneumonie (2013) Bundesgesundheitsbl-Gesundheitsforsch-Gesundheitsschutz 56:1578–1590Google Scholar
  3. 3.
    Bundesgesundheitsblatt Prävention von Infektionen, die von Gefäßkathetern ausgehen (2017) Bundesgesundheitsbl-Gesundheitsforsch-Gesundheitsschutz 60:171–206Google Scholar
  4. 4.
    CDC (2004) CDC-guidelines morbid mortal weekly report 53: RR 3Google Scholar
  5. 5.
    CDC (2011) Guidelines for the prevention of intravascular catheter-related infections, HICPAC guidelines, CDC. www.cdc.gov
  6. 6.
    Chastre J et al (2003) The PneumA Trial Group. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults. A randomized trial. JAMA 290:2588–2598CrossRefPubMedGoogle Scholar
  7. 7.
    Chien JW, Johnson JL (2000) Viral pneumonias. Infection in the immunocompromised host. Postgrad Med 107:67–80PubMedGoogle Scholar
  8. 8.
    Climo MW, Yokoe DS, Warren DK et al (2013) Effect of daily chlorhexidine bathing on hospital-acquired infection. N Engl J Med 368:533–542CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Cunha BA (1999) Fever in the intensive care unit. Intensive Care Med 25:648–651CrossRefPubMedGoogle Scholar
  10. 10.
    Dahlhoff K, Abele-Horn M, Andreas S et al (2012) Epidemiologie, Diagnostik und Therapie erwachsener Patienten mit nosokomialer Pneumonie. Pneumologie 66:707–765CrossRefGoogle Scholar
  11. 11.
    Dettenkofer M, Wilson C, Gratwohl A et al (2009) Skin disinfection with octenidine dihydrochloride for central venous catheter site care: a double-blind, randomized, controlled trial. J Compil Europ Soc Clin Microbio Infect Disea 50:691–703Google Scholar
  12. 12.
    Ewig S, Höffken G, Kern WV et al (2016) Behandlung von erwachsenen Patienten mit ambulant erworbener Pneumonie – Update 2016. Pneumologie 70:151–200CrossRefPubMedGoogle Scholar
  13. 13.
    Fabregas N, Ewig S, Torres A et al (1999) Clinical diagnosis of ventilator-associated pneumonia revised: comparative validation using immediate post-mortem lung biopsies. Thorax 54:867–873CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    de Gans J, von de Beek D (2001) The European dexamethasone in adulthood bacterial meningitis study investigators. N Engl J Med 347:1549–5649CrossRefGoogle Scholar
  15. 15.
    Geiss HK (1999) Nosocomial sinusitis (editorial). Intensive Care Med 25:1037–1039CrossRefPubMedGoogle Scholar
  16. 16.
    Holzapfel L, Chastang C, Demingeon G et al (1999) A randomized study assessing the systematic search for maxillary sinusitis in nasotracheally mechanically ventilated patients. Influence of nosocomial maxillary sinusitis on the occurrence of ventilator-associated pneumonia. Am J Respir Crit Care Med 159:695–701CrossRefPubMedGoogle Scholar
  17. 17.
    Huang SS, Septimus E, Kleinman K et al (2013) Targeted versus universal decolonization to prevent ICU infection. N Engl J Med 368:2255–2265CrossRefPubMedGoogle Scholar
  18. 18.
    Johanson WG, Pierce AK, Sanford JP, Thomas GD (1972) Nosocomial respiratory infections with Gram-negative bacilli. The significance of colonization of the respiratory tract. Ann Intern Med 77:701–706CrossRefPubMedGoogle Scholar
  19. 19.
    Krueger WA, Unertl KE (2000) Die geschichtliche Entwicklung der Intensivmedizin in Deutschland. Zeitgenössische Betrachtungen. Anästhesist 49:743–751CrossRefGoogle Scholar
  20. 20.
    Krueger WA, Unertl KE (2002) Selective decontamination of the digestive tract: current status. Curr Opin Crit Care 8:139–144CrossRefPubMedGoogle Scholar
  21. 21.
    Krueger WA, Lenhart F-P, Neeser G et al (2002–2003) Influence of combined intravenous and topical antibiotic prophylaxis on the incidence of infections, organ dysfunctions, and mortality in critically ill surgical patients. A prospective, stratified, randomized, double-blind, placebo-controlled clinical trial. Am J Respir Crit Care Med 166:1029–1037CrossRefPubMedGoogle Scholar
  22. 22.
    Le Moal G, Lemerre D, Grollier G et al (1999) Nosocomial sinusitis with isolation of anaerobic bacteria in ICU patients. Intensive Care Med 25:1066–1071CrossRefPubMedGoogle Scholar
  23. 23.
    Lindsay E, Bradley NS, Colgan R et al (2005) Infectious diseases society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 40:643–654CrossRefGoogle Scholar
  24. 24.
    Liu C, Bayer A, Cosgrove SE et al (2011) Clinical practice guidelines by the Infectious diseases society of America for the treatment of methicilin-resistant Staphylococcus aureus infection in adults and children. Clin Infect Dis 52:1–38CrossRefGoogle Scholar
  25. 25.
    Maki DG, Weise CE, Sarafin HW (1977) A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med 196:1305–1309CrossRefGoogle Scholar
  26. 26.
    Marik PE (2001) Aspiration pneumonitis and aspiration pneumonia. N Engl J Med 344:665–671CrossRefPubMedGoogle Scholar
  27. 27.
    Marra AR, Edmond MB, Forbes BA et al (2006) Time to blood culture positivity as a predictor of clinical outcome of Staphylococcus aureus bloodstream infection. J Clin Microbiol 44:1342–1346CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Marschall J, Mermel LA, Fakih M et al (2014) Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 35:753–771CrossRefPubMedGoogle Scholar
  29. 29.
    Meduri GU, Mauldin GL, Wunderink RG et al (1994) Causes of fever and pulmonary densities in patients with clinical manifestations of ventilator-associated pneumonia. Chest 106:221–235CrossRefPubMedGoogle Scholar
  30. 30.
    Mermel LA, Farr BM, Sherertz RJ et al (2001) Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis 32:1249–1272CrossRefPubMedGoogle Scholar
  31. 31.
    Nobre V, Harbarth S, Graf JD, Rohner P, Pugin J (2008) Use of procalcitonin to shorten antibiotic treatment duration in septic patients: a randomized trial. Am J Respir Crit Care Med 177:498–505CrossRefPubMedGoogle Scholar
  32. 32.
    Richards MJ, Edwards JR, Culver DH, Gaynes RP (1999) Nosocomial infections in medical intensive care units in the United States. National nosocomial infections surveillance system. Crit Care Med 27:887–892CrossRefPubMedGoogle Scholar
  33. 33.
    Scheithauer S, Manemann AK, Krüger S et al (2010) Impact of herpes simplex virus detection in respiratory specimens of patients with suspected viral pneumonia. Infection 38:401–405CrossRefPubMedGoogle Scholar
  34. 34.
    Scheithauer S, Lewalter L, Schröder J et al (2014) Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection 42:155–159CrossRefPubMedGoogle Scholar
  35. 35.
    Stevens DL, Bisno AL, Chambers HF et al (2005) Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis 41:1373–1406CrossRefGoogle Scholar
  36. 36.
    Talmor M, Li P, Barie PS (1997) Acute paranasal sinusitis in critically ill patients: guidelines for prevention, diagnosis, and treatment. Clin Infect Dis 25:1441–1446CrossRefPubMedGoogle Scholar
  37. 37.
    The Canadian Critical care Trials Group (2006) A randomized trial of diagnostic techniques for ventilator-associated pneumonia. N Engl J Med 355:2619–2630CrossRefGoogle Scholar
  38. 38.
    Timsit JF, Mimoz O, Mourvillier B et al (2012) Randomized controlled trial of chlorhexidine dressing and highly adhesive dressing for preventing catheter-related infections in critically ill adults. Am J Respir Crit Care Med 186:1272–1278CrossRefPubMedGoogle Scholar
  39. 39.
    Tunkel AR, Hartman BJ, Kaplan SL et al (2004) Practice guidelines for the management of bacterial meningitis. Clin Infect Dis 39:1267–1284CrossRefPubMedGoogle Scholar
  40. 40.
    Wunderink RG, Niedermann MS, Kollef MH et al (2012) Linezolid in methicillin-resistant Staphylococcus aureus nosocomial pneumonia: a randomized, controlled study. Clin Infect Dis 54:621–629CrossRefGoogle Scholar
  41. 41.
    Wunderink RG, Woldenberg LS, Zeiss J et al (1992) The radiologic diagnosis of autopsy-proven ventilator-associated pneumonia. Chest 101:458–463CrossRefPubMedGoogle Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • Sebastian Lemmen
    • 1
  • Karl Lewalter
    • 1
  • Wolfgang Krüger
    • 2
  1. 1.Uniklinik RWTH Aachen, Zentralbereich für Krankenhaushygiene und InfektiologieAachenDeutschland
  2. 2.Klinikum Konstanz, Klinik für Anaesthesiologie und Operative IntensivmedizinKonstanzDeutschland

Section editors and affiliations

  • Rolf Rossaint
    • 1
  1. 1.Klinik für operative Intensivmedizin und Intermediate CareUniversitätsklinikum AachenAachenDeutschland

Personalised recommendations